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NPI Code Detail

MEDICARE: BENCY ANN ABRAHAM D.O.

MEDICARE: BENCY ANN ABRAHAM D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianW1128TX

General Provider Information

NPI Number : 1942942602
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENCY ANN ABRAHAM D.O.
Provider Business Mailing Address
First Line : PO BOX 746079
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6079
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1515 S BUCKNER BLVD STE 141
Second Line :
City : DALLAS
State : TX
Zip : 75217-1794
Country : US
Telephone Number : 214-305-7065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2022
Last Update Date : 10/07/2025

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Directions to “ BENCY ANN ABRAHAM D.O.” Practice Location

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