Provider Demographics
NPI:1407229693
Name:ABRAMEIT, ANN H (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:H
Last Name:ABRAMEIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E LAKE ST STE 260
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-3359
Mailing Address - Country:US
Mailing Address - Phone:035-979-4009
Mailing Address - Fax:903-597-9401
Practice Address - Street 1:1100 E LAKE ST STE 260
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-3359
Practice Address - Country:US
Practice Address - Phone:035-979-4009
Practice Address - Fax:903-597-9401
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1952207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125706505Medicaid
TX45-2578435-002OtherTRICARE
TX8FQ096OtherBCBS
TXP01583377OtherRAIL ROAD MEDICARE
TX125706505Medicaid