| Jacqueline G Abraham, | |
|
9517 Fairway Vista Dr, Rowlett, TX 75089 | |
| (214) 556-7169 | |
| Not Available |
| Full Name | Jacqueline G Abraham |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 9517 Fairway Vista Dr, Rowlett, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194292219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Dallas Medical Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508217811 PECOS PAC ID: 3072895788 Enrollment ID: O20170112001818 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline G Abraham, 9517 Fairway Vista Dr, Rowlett, TX 75089 Ph: (214) 556-7169 | Jacqueline G Abraham, 9517 Fairway Vista Dr, Rowlett, TX 75089 Ph: (214) 556-7169 |
Anna R Perrone, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1510 Churchill Way, Rowlett, TX 75088 Phone: 817-565-3937 |
Sofia Michele Munoz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7700 Lakeview Pkwy Ste 400a, Rowlett, TX 75088 Phone: 972-682-5700 |
Stephina P Thomas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7600 Lakeview Pkwy Ste 100, Rowlett, TX 75088 Phone: 972-475-1351 Fax: 972-412-8220 |
Leora Lynn Kohler, LSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1901 Miller Rd, Rowlett, TX 75088 Phone: 214-227-2457 |
Jessica Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7600 Lakeview Pkwy Ste 100, Rowlett, TX 75088 Phone: 972-475-1351 |
Lyle A Duyck, OPA-C, LSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1901 Miller Rd, Rowlett, TX 75088 Phone: 214-227-2457 Fax: 214-764-0880 |
Sonya Joseph, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7600 Lakeview Pkwy Ste 100, Rowlett, TX 75088 Phone: 972-475-1351 |