# INVICTA HEALTHCARE PLLC

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

## Provider details

- **NPI number:** 1740635143
- **Authorized official:** DR. SHINY MARY ABRAHAM MD (CEO)
- **Authorized official phone:** (216) 469-5575

## Contact information

- **Practice address:** 9545 N BEACH ST STE 101, FORT WORTH, TX 76244-6470
- **Practice address phone:** (817) 381-9650
- **Practice address fax:** (817) 585-5836
- **Mailing address:** 771 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092-1483
- **Mailing address phone:** (216) 469-5516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | Q1450 | TX | — |
| 2084P0800X | Psychiatry Physician | Q0601 | TX | — |
| 2084P0800X | Psychiatry Physician | Q1450 | TX | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | Q1450 | TX | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 02/04/2025