MEDICARE: DR. MITCHEL JAY ABRAMSKY M.D., MPH

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
1	208D00000X	General Practice Physician	PH00002	TX

General Provider Information

NPI Number	:	1386877116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHEL JAY ABRAMSKY M.D., MPH

Provider Business Mailing Address
First Line	:	P.O. BOX 88361
Second Line	:	CITY OF HOUSTON HEALTH & HUMAN SERVICES
City	:	HOUSTON
State	:	TX
Zip	:	77288-8861
Country	:	US
Telephone Number	:	713-794-9104
Fax Number	:	713-798-0803

Provider Business Practice Location Address
First Line	:	5605 LYONS AVE
Second Line	:	LYONS AVENUE HEALTH CENTER
City	:	HOUSTON
State	:	TX
Zip	:	77020
Country	:	US
Telephone Number	:	713-671-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2009
Last Update Date	:	08/27/2009

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