Individual provider Active NPI

Isabelle Abraham, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1073393815
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17188 Issued in TX
Practice address
7777 Forest LN Ste B332
Dallas, TX 75230-6822
Phone
(972) 566-7788
Fax
(972) 566-8837
NPI assigned
Sep 29, 2023
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17188 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste B332
Dallas, TX 75230-6822

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000440 TX Practitioner - Physician Assistant 7719338680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of Texas IncGroup PAC ID 0244486157, 22 clinicians

Practice addresses (Care Compare)

760 N Shiloh Rd
Garland, TX 75042-5714
Phone (972) 272-4463

7777 Forest LN
Suite B332
Dallas, TX 75230-6822
Phone (972) 566-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17188TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of Texas, Inc. CurrentSince Dec 15, 2024 Accepting new patients
Allergy Partners of Texas, Inc. CurrentSince Dec 15, 2024 Accepting new patients
Transitional and Chronic Care PLLC PastSince Mar 4, 2021 Accepting new patients

Locations

7777 Forest Ln
Ste B332
Dallas, TX 75230
Phone (972) 566-7788

760 N Shiloh Rd
Garland, TX 75042
Phone (972) 272-4463

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1073393815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B332",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306822",
            "telephone_number": "972-566-7788",
            "fax_number": "972-566-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "ISABELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.