Johny Abraham, FNP
Nurse Practitioner, Family in League City, TX. Individual provider (NPI-1).
NPI number1821413857
StatusActive
Last updated in NPPESSep 19, 2019
Details
- NPI
- 1821413857
- Entity type
- Individual (NPI-1)
- Name
- Mr. Johny Abraham
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2014
- Last updated
- Sep 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP114875 | TX | Yes |
Practice location
1249 Deer Ridge DrLeague City, TX 77573-5203
Phone 281-332-8163
Mailing address
926 Walnut StColumbus, TX 78934-2215
Phone 979-942-9084 · Fax 718-640-2713
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