MEDICARE: ABRAHAM FISZBEIN MD

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	2084P0800X	Psychiatry Physician	94-43	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	260047684	OTHER		RR 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
2	NM100252	OTHER	NM	VALUE OPTIONS OF NM
4	201003086	OTHER	NM	PRESBYTERIAN SALUD
5	NM003298	OTHER	NM	BCBS & HMO OF NM

General Provider Information

NPI Number	:	1700859956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABRAHAM FISZBEIN MD

Provider Business Mailing Address
First Line	:	5746 TROWBRIDGE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-3341
Country	:	US
Telephone Number	:	915-219-4300
Fax Number	:	915-519-4300

Provider Business Practice Location Address
First Line	:	4311 E LOHMAN AVE
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8255
Country	:	US
Telephone Number	:	575-556-7600
Fax Number	:

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	11/15/2022

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Directions to “ ABRAHAM FISZBEIN MD” Practice Location

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