Organization
OLIVE BRANCH PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEON ABRAHAM MD (MANAGER)
(972) 867-2869
Entity
Organization
Contact information
Practice address
3105 W 15TH ST STE D, PLANO, TX 75075-7700
(214) 674-9189
Mailing address
3105 W 15TH ST STE D, PLANO, TX 75075-7700
(972) 867-2869
(972) 964-5219
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
12/30/2017
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