DEEPA T ABRAHAM, Family FORT WORTH, TX

Contact Information

DEEPA T ABRAHAM

609 HEMPHILL ST
FORT WORTH, TX 76104-3149

Phone: 817-923-8484
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Registered Nurse	163W00000X

Indicates primary specialty

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NPI Profile & details for DEEPA T ABRAHAM · (Female)

NPI #	`1760927172`
Status	Active
Credentials
Entity	Individual
Enumeration date	12/21/2016
Last updated	03/17/2018 - About 8 years ago
Sole proprietor ¹	Yes
Identifiers	OK License # 95153 TX License # AP133659
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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