Individual
DR. ABU ABRAHAM JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1513 CHOCTAW DR, MESQUITE, TX 75149-1867
(469) 693-0632
Mailing address
1513 CHOCTAW DR, MESQUITE, TX 75149-1867
(469) 693-0632
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q1426
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10043992
TX
Other
Enumeration date
04/29/2012
Last updated
09/10/2014
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