| Ayodele A Abraham, MD | |
|
4730 College Dr, Vernon, TX 76384-4009 | |
| (940) 552-9901 | |
| Not Available |
| Full Name | Ayodele A Abraham |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4730 College Dr, Vernon, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437378999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M9770 (Texas) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M9770 (Texas) | Primary |
| Entity Name | Ayodele Abraham Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306201900 PECOS PAC ID: 8729381298 Enrollment ID: O20160119000212 |
| Entity Name | Elite Psychiatry Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952888265 PECOS PAC ID: 7214289388 Enrollment ID: O20181018000272 |
| Entity Name | North Texas Behavioral Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457720120 PECOS PAC ID: 2769804350 Enrollment ID: O20200629001278 |
| Mailing Address | Practice Location Address |
|---|---|
| Ayodele A Abraham, MD 4730 College Dr, Vernon, TX 76384-4009 Ph: (940) 552-9901 | Ayodele A Abraham, MD 4730 College Dr, Vernon, TX 76384-4009 Ph: (940) 552-9901 |
James Robert Boger, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4730 College Dr, Vernon, TX 76384 Phone: 940-552-9901 | |
Feroz Yaqoob, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4730 College Dr, Vernon, TX 76384 Phone: 940-552-4065 | |
Dr. Kevin Thomas Brown, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4730 College Dr, Vernon, TX 76384 Phone: 940-552-9901 Fax: 940-514-9082 | |
Kumud Joshi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4730 College Dr, Vernon, TX 76384 Phone: 940-552-9901 |