Individual
DR. ABRAHAM JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 ROSEWOOD AVE, AUSTIN, TX 78702-2206
(512) 465-4840
(512) 465-4841
Mailing address
12758 CIMARRON PATH, STE 128, SAN ANTONIO, TX 78249-3426
(210) 479-3444
(888) 419-7516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P1657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
464086YLPS
WMG MEDICARE
—
Enumeration date
10/12/2006
Last updated
12/30/2015
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