Provider Demographics
NPI:1821570458
Name:ABRAHAM, SEETHU THOMAS (FNP-C)
Entity type:Individual
Prefix:
First Name:SEETHU
Middle Name:THOMAS
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9990 DALLAS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4133
Mailing Address - Country:US
Mailing Address - Phone:214-387-8288
Mailing Address - Fax:214-387-8289
Practice Address - Street 1:9990 DALLAS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4133
Practice Address - Country:US
Practice Address - Phone:214-387-8288
Practice Address - Fax:214-387-8289
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60896000363LF0000X
TXAP142838207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily