MEDICARE: JAMELIA ENIECE ABRAMS DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	5901002169	MI
2	213ES0103X	Foot & Ankle Surgery Podiatrist	1848	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01332015	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447460910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMELIA ENIECE ABRAMS DPM

Provider Business Mailing Address
First Line	:	2776 BAY SHORE LN
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-7255
Country	:	US
Telephone Number	:	817-539-0588
Fax Number	:

Provider Business Practice Location Address
First Line	:	2776 BAY SHORE LN
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-7255
Country	:	US
Telephone Number	:	817-539-0588
Fax Number	:

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	03/16/2015

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Directions to “ JAMELIA ENIECE ABRAMS DPM” Practice Location

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