Individual
MANOJ ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1251 E SOUTHLAKE BLVD, SUITE 331, SOUTHLAKE, TX 76092-6478
(817) 310-0289
Mailing address
1505 STONE DR, CARROLLTON, TX 75010-1147
(630) 452-6290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009950
IL
152W00000X
Optometrist
Primary
8563T
TX
Other
Enumeration date
07/17/2007
Last updated
12/02/2016
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