Individual
DIA ABOCHAMH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3921 N TWIN CITY HWY, PORT ARTHUR, TX 77642-2118
(409) 963-0000
(409) 963-1899
Mailing address
PO BOX 951406, DALLAS, TX 75395-1406
(409) 963-0000
(409) 963-1899
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K2392
TX
207UN0901X
Nuclear Cardiology Physician
K2392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169540501
—
TX
01
—
K2392
LICENSE NO
TX
01
—
P00177686
RR MEDICARE
TX
Enumeration date
06/20/2005
Last updated
11/11/2016
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