Provider Demographics
NPI:1265403646
Name:ABRAM, FELICIA MCLEOD (DO)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:MCLEOD
Last Name:ABRAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:T
Other - Last Name:MCLEOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1903 AUTRY CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-7949
Mailing Address - Country:US
Mailing Address - Phone:817-417-5688
Mailing Address - Fax:817-290-0508
Practice Address - Street 1:1903 AUTRY CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-7949
Practice Address - Country:US
Practice Address - Phone:817-417-5688
Practice Address - Fax:817-290-0508
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4501207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8P0598OtherBCBS
TX167914401Medicaid