Organization
COMPASSIONATE FOOT CARE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMELIA ABRAMS DPM (PODIATRIST)
(817) 948-3576
Entity
Organization
Contact information
Practice address
2776 BAY SHORE LN, GRAND PRAIRIE, TX 75054-7255
(817) 948-3576
Mailing address
2776 BAY SHORE LN, GRAND PRAIRIE, TX 75054-7255
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083SG
BLUE CROSS BLUE SHIELD OF TX
TX
05
—
193700504
—
TX
01
—
8536466
CIGNA
TX
Enumeration date
09/08/2008
Last updated
06/12/2012
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