Jason Abraham
Internal Medicine in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1023699691
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1023699691
- Entity type
- Individual (NPI-1)
- Name
- Jason Abraham
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2021
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | U9801 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1631 11th StreetUnit B
Wichita Falls, TX 76301
Phone 940-263-3000 · Fax 940-263-3018
Mailing address
1631 11th StreetUnit B
Wichita Falls, TX 76301-3046
Phone 940-263-3000 · Fax 940-263-3018
Other practice locations
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Fort Lauderdale, FL 33316-2510
Phone 954-355-4400
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