Provider Demographics
NPI:1124576285
Name:ABRAMS, STANLEY DONALD (MD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:DONALD
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-3817
Mailing Address - Country:US
Mailing Address - Phone:817-774-0484
Mailing Address - Fax:817-774-0485
Practice Address - Street 1:827 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-3817
Practice Address - Country:US
Practice Address - Phone:817-774-0484
Practice Address - Fax:817-774-0485
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5662207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine