Provider Demographics
NPI:1508041120
Name:ABRAHAM, CILYMOL (APN)
Entity type:Individual
Prefix:DR
First Name:CILYMOL
Middle Name:
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:APN
Other - Prefix:DR
Other - First Name:CILYMOL
Other - Middle Name:
Other - Last Name:ABRAHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:550 GREENS PK WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067
Mailing Address - Country:US
Mailing Address - Phone:713-486-5600
Mailing Address - Fax:713-486-5562
Practice Address - Street 1:550 GREENS PK WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067
Practice Address - Country:US
Practice Address - Phone:713-486-5600
Practice Address - Fax:713-486-5562
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP112084363LP0200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care