Individual
JAMELIA ENIECE ABRAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2776 BAY SHORE LN, GRAND PRAIRIE, TX 75054-7255
(817) 539-0588
Mailing address
2776 BAY SHORE LN, GRAND PRAIRIE, TX 75054-7255
(817) 539-0588
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1848
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193700504
—
TX
05
—
193700508
—
TX
05
—
193700509
—
TX
05
—
193700510
—
TX
01
—
P01332015
RAILROAD MEDICARE
TX
Enumeration date
05/23/2007
Last updated
03/16/2015
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