Provider Demographics
NPI:1801327911
Name:THE DOCGRAPH JOURNAL
Entity type:Organization
Organization Name:THE DOCGRAPH JOURNAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CTO
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:TROTTER
Authorized Official - Suffix:
Authorized Official - Credentials:BA, BS, BS
Authorized Official - Phone:713-965-4327
Mailing Address - Street 1:2900 WESLAYAN ST STE 555
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5183
Mailing Address - Country:US
Mailing Address - Phone:713-766-5588
Mailing Address - Fax:
Practice Address - Street 1:2900 WESLAYAN ST STE 555
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5183
Practice Address - Country:US
Practice Address - Phone:713-766-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty