Provider Demographics
NPI:1790827871
Name:PROFESSIONAL HEALTHCARE MANAGEMENT
Entity Type:Organization
Organization Name:PROFESSIONAL HEALTHCARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER-GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-245-1315
Mailing Address - Street 1:2817 ARCADIA LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5402
Mailing Address - Country:US
Mailing Address - Phone:972-245-1315
Mailing Address - Fax:469-574-5069
Practice Address - Street 1:2817 ARCADIA LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5402
Practice Address - Country:US
Practice Address - Phone:972-245-1315
Practice Address - Fax:469-574-5069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NA251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage