Provider Demographics
NPI:1093851396
Name:ABRAHAM J. KATZ, M.D.PA
Entity Type:Organization
Organization Name:ABRAHAM J. KATZ, M.D.PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-532-7799
Mailing Address - Street 1:1201 E SCHUSTER AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4673
Mailing Address - Country:US
Mailing Address - Phone:915-532-7799
Mailing Address - Fax:915-534-9140
Practice Address - Street 1:1201 E SCHUSTER AVE STE 6
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4673
Practice Address - Country:US
Practice Address - Phone:915-532-7799
Practice Address - Fax:915-534-9140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60754101YM0800X
TXH39682084P0800X
TX550947363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0053LTOtherBCBS GROUP
TX8N8575OtherBCBS-ALATORRE
TX8P1960OtherBCBS-KATZ #
TX=========OtherTRICARE
TX=========79902A001OtherTRICARE #
TX00744XMedicare ID - Type UnspecifiedGROUP #
TX8D7496Medicare ID - Type UnspecifiedALATORRE, #
TX=========OtherTRICARE