Basic Information
Provider Information
NPI: 1447220413
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABRAMOWITZ
FirstName: JOEL
MiddleName: WILLIAM
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 911230
Address2:  
City: DALLAS
State: TX
PostalCode: 753911230
CountryCode: US
TelephoneNumber: 9729978000
FaxNumber: 9722340813
Practice Location
Address1: 925 GESSNER RD
Address2: SUITE 310
City: HOUSTON
State: TX
PostalCode: 770242545
CountryCode: US
TelephoneNumber: 7134671630
FaxNumber: 7134672003
Other Information
ProviderEnumerationDate: 01/24/2006
LastUpdateDate: 11/07/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XF7380TXY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

ID Information
IDTypeStateIssuerDescription
P0136150501TXRAILROAD MEDICAREOTHER
04679950105TX MEDICAID
04679950205TX MEDICAID
88867701TXBLUE CROSS/BLUE SHIELDOTHER


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