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NPI Code Detail

MEDICARE: SURYA ABRAHAM

MEDICARE: SURYA ABRAHAM
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
1363LF0000XFamily Nurse PractitionerF03170299TX
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP133723TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F03170299OTHERTXFAMILY NURSE PRACTITIONER

General Provider Information

NPI Number : 1780105312
Entity Type Code : Individual
Provider Name (Legal Business Name) : SURYA ABRAHAM
Provider Business Mailing Address
First Line : 1224 DELANO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77003-4523
Country : US
Telephone Number : 916-524-3824
Fax Number :
Provider Business Practice Location Address
First Line : 550 WESTCOTT ST STE 520
Second Line :
City : HOUSTON
State : TX
Zip : 77007-9001
Country : US
Telephone Number : 713-864-6694
Fax Number : 713-864-6698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2017
Last Update Date : 01/06/2026

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Directions to “ SURYA ABRAHAM ” Practice Location

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