Individual provider · NPI-1

Christian Thomas Abraham, MD

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

NPI number1760184543

StatusActive

Last updated in NPPESOct 17, 2024

Details

NPI: 1760184543
Entity type: Individual (NPI-1)
Name: Christian Thomas Abraham
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 17, 2023
Certification date: Oct 17, 2024
Last updated: Oct 17, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes
208D00000X	General Practice	V3222	TX

Practice location

10175 Gateway Blvd W Ste 300
El Paso, TX 79925-7618

Phone 915-201-8326

Mailing address

10175 Gateway Blvd W Ste 300
El Paso, TX 79925-7618

Phone 915-201-8326

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