Healthcare Provider Details

I. General information

NPI: 1194468173
Provider Name (Legal Business Name): CHAMINE ANNA ABRAHAM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHAMINE ANNA ROBINCE DO

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 11TH ST
WICHITA FALLS TX
76301-4300
US

IV. Provider business mailing address

1631 11TH ST UNIT B
WICHITA FALLS TX
76301-4332
US

V. Phone/Fax

Practice location:
  • Phone: 940-263-3000
  • Fax: 940-263-3018
Mailing address:
  • Phone: 940-263-3000
  • Fax: 940-263-3018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV9258
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: