Individual
MRS. ANNAMMA ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W PECAN BLVD, MCALLEN, TX 78501-2414
(956) 661-9161
(956) 661-1896
Mailing address
602 W PECAN BLVD, MCALLEN, TX 78501-2414
(956) 661-9161
(956) 661-1896
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
32009002521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144610601
—
TX
Enumeration date
12/04/2006
Last updated
11/26/2008
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