Individual
MR. ABRAHAM CHARLES HUMPHRIES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
33003 BATTALION AVE, FORT HOOD, TX 76544
(254) 553-3265
Mailing address
2504 BOXWOOD DR, HARKER HEIGHTS, TX 76548-2734
(254) 231-1439
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
199688
TX
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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