Individual provider · NPI-1

Crisy Abraham, MD

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number1396537346
StatusActive
Last updated in NPPESMay 17, 2025

Details

NPI
1396537346
Entity type
Individual (NPI-1)
Name
Crisy Abraham
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2025
Certification date
Apr 21, 2025
Last updated
May 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

11937 State Highway 271
Tyler, TX 75708-3154

Phone 903-594-2269

Mailing address

11937 Us Highway 271
Tyler, TX 75708-3154

Phone 903-877-7200

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