Individual
AYODELE A ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4730 COLLEGE DR, VERNON, TX 76384-4009
(940) 552-9901
Mailing address
4730 COLLEGE DR, VERNON, TX 76384-4009
(940) 552-9901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
M9770
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M9770
TX
Other
Enumeration date
04/24/2007
Last updated
10/30/2023
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