| Dr Jaeon Abraham, MD | |
|
3105 W 15th St Ste D, Plano, TX 75075-7700 | |
| (972) 867-2869 | |
| Not Available |
| Full Name | Dr Jaeon Abraham |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3105 W 15th St Ste D, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043638885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | R1680 (Texas) | Primary |
| Entity Name | Dallas Physician Medical Services For Children Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jaeon Abraham, MD 3105 W 15th St Ste D, Plano, TX 75075-7700 Ph: (972) 867-2869 | Dr Jaeon Abraham, MD 3105 W 15th St Ste D, Plano, TX 75075-7700 Ph: (972) 867-2869 |
Dr. Elizabeth Y Leon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6300 W Parker Rd, Suite 426, Plano, TX 75093 Phone: 972-608-0774 Fax: 972-608-0595 | |
Natasha Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7601 Preston Rd, Plano, TX 75024 Phone: 214-456-9250 | |
Michael J Frank, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 Communications Pkwy, Plano, TX 75093 Phone: 972-403-9355 Fax: 972-403-1287 | |
Susan J. Sickler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 Communications Pkwy, Plano, TX 75093 Phone: 972-403-9355 Fax: 972-403-1287 | |
Kristen Nicole Hall, Pediatrics Medicare: Medicare Enrolled Practice Location: 7601 Preston Rd, Plano, TX 75024 Phone: 214-456-9250 Fax: 214-456-1240 | |
Dr. Renesha Christine Butler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7601 Preston Rd, Plano, TX 75024 Phone: 214-456-9250 Fax: 214-456-1240 | |
Dr. Michael Anthony Russo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7000 W Plano Pkwy Ste 110, Plano, TX 75093 Phone: 972-306-3767 Fax: 972-566-8839 |