Individual
MRS. BETSY MANOJ ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
79927
OK
363LF0000X
Family Nurse Practitioner
Primary
AP138823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404507201
—
TX
01
—
404507202
CSHCN (MEDICAID)
TX
01
—
8LT656
BCBS
TX
Enumeration date
08/30/2017
Last updated
01/08/2020
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