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Alexander Frederick Samuel Abraham

Student in an Organized Health Care Education/Training Program

Student, Health Care

Department Of Orthopaedic Surgery & Rehabilitation, 3601 4th St, Stop 9436 - 4a135, Lubbock, TX 79430

PECOS Enrollment

This provider is enrolled in PECOS as ALEXANDER ABRAHAM.

Based on the most recent information from CMS, provider Alexander Frederick Samuel Abraham is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1659062693
Provider Type
Individual
Full Name
Abraham, Alexander Frederick Samuel
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/19/2023
Last Updated
5/19/2023

Contact Information

Practice Location

Department Of Orthopaedic Surgery & Rehabilitation, 3601 4th St, Stop 9436 - 4a135, Lubbock, TX 79430

(806) 743-2622

Unlisted Fax

Mailing Location

Department Of Orthopaedic Surgery & Rehabilitation, 3601 4th St, Stop 9436 - 4a135, Lubbock, TX 79430

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Alexander Frederick Samuel Abraham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

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