# EVERLY PROVIDER GROUP KS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154185601
- **Authorized official:** ANDREW ABRAHAM MD (AO)
- **Authorized official phone:** (402) 290-9368

## Contact information

- **Practice address:** 5209 BURNET RD UNIT 300, AUSTIN, TX 78756-2443
- **Practice address phone:** (855) 422-3855
- **Mailing address:** 5209 BURNET RD UNIT 300, AUSTIN, TX 78756-2443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2024
- **Last updated:** 06/03/2026