Healthcare Provider Details

I. General information

NPI: 1447258108
Provider Name (Legal Business Name): RAJESHWAR PAL ABROL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 GRAHAM DR SUITE 100
TOMBALL TX
77375-3346
US

IV. Provider business mailing address

506 GRAHAM DR STE 100
TOMBALL TX
77375-3348
US

V. Phone/Fax

Practice location:
  • Phone: 281-351-6464
  • Fax: 281-351-6476
Mailing address:
  • Phone: 281-351-6464
  • Fax: 281-351-6476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberJ5679
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: