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General NPI Number Information
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NPI Number | 1780105312
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Entity Type | Individual
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Provider Name | SURYA ABRAHAM
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Gender | Female
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 550 WESTCOTT ST STE 520
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City | HOUSTON
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State | TX
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Zip | 77007-9001
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Country | US
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Telephone | 713-864-6694
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Fax | 713-864-6698
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Provider Business Mailing Address
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Address Line | 1224 DELANO ST
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City | HOUSTON
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State | TX
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Zip | 77003-4523
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Country | US
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Telephone | 916-524-3824
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F03170299
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP133723
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License Number State | TX
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