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Contact Information

DUSTIN J ABRAHAM, CRNA
6580 JUDSON RD
LONGVIEW, TX75605-7076
 Phone: 903-663-3600
 Fax: 214-382-5417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for DUSTIN J ABRAHAM · (Male)

NPI Number 1235496217
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 04/16/2012
Last updated 04/16/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 105075
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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