Individual
JOYCE J ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2206 CLUB CREEK CIR, GARLAND, TX 75043-1479
(214) 598-7927
Mailing address
2206 CLUB CREEK CIR, GARLAND, TX 75043-1479
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M5997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187628601
—
TX
01
—
8AH310
BCBS PROVIDER NUMBER
TX
Enumeration date
02/26/2007
Last updated
10/26/2009
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