Individual provider · NPI-1

Ajoey Koshy Abraham, PA

Physician Assistant, Surgical · Houston, TX

NPI number1992319784
StatusActive
Last updated in NPPESSep 3, 2020

Details

NPI
1992319784
Entity type
Individual (NPI-1)
Name
Ajoey Koshy Abraham
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2020
Certification date
Sep 1, 2020
Last updated
Sep 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, SurgicalPA13461TXYes

Practice location

11800 Fm 1960 Rd W
Houston, TX 77065-3840

Phone 281-955-7577 · Fax 281-955-5875

Mailing address

11800 Fm 1960 Rd W
Houston, TX 77065-3840

Phone 281-955-7577 · Fax 281-955-5875

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