Individual
JACQUELINE G. ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9517 FAIRWAY VISTA DR, ROWLETT, TX 75089
(214) 556-7169
Mailing address
9517 FAIRWAY VISTA DR, ROWLETT, TX 75089
(214) 556-7169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/26/2018
Last updated
08/10/2020
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