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Individual

ABBESALOM P GHERMAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6101 W PLANO PKWY STE 100, PLANO, TX 75093-8201
(214) 750-3646
Mailing address
6101 W PLANO PKWY STE 100, PLANO, TX 75093-8201
(214) 750-3646

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L3656
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152433104
TX
Enumeration date
01/26/2006
Last updated
01/25/2021
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  • EDI platform