Individual
AGHA MASROOR ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
231 S COLLINS RD, SUNNYVALE, TX 75182-4624
(972) 892-3000
Mailing address
DEPT 960390, OKLAHOMA CITY, OK 73196-0001
(800) 684-1573
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M2520
TX
207R00000X
Internal Medicine Physician
14813R
LA
207R00000X
Internal Medicine Physician
M2520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1156426
—
LA
05
—
182344513
—
TX
01
—
P01181269
RAILROAD MEDICARE
TX
Enumeration date
04/07/2006
Last updated
02/15/2024
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