Provider Demographics
NPI:1770776338
Name:ABRAHAM, ABY K (OD)
Entity type:Individual
Prefix:DR
First Name:ABY
Middle Name:K
Last Name:ABRAHAM
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8801 STATE HIGHWAY 34 S
Mailing Address - Street 2:
Mailing Address - City:QUINLAN
Mailing Address - State:TX
Mailing Address - Zip Code:75474-9434
Mailing Address - Country:US
Mailing Address - Phone:903-356-6900
Mailing Address - Fax:214-206-9028
Practice Address - Street 1:8801 HIGHWAY 34 S
Practice Address - Street 2:
Practice Address - City:QUINLAN
Practice Address - State:TX
Practice Address - Zip Code:75474-9434
Practice Address - Country:US
Practice Address - Phone:903-356-6900
Practice Address - Fax:903-356-1019
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2019-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX7081TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist