Blaine Tsigie Abraha, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Houston, TX
NPI 1558053371 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1558053371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 6431 Fannin St
Houston, TX 77030-1501 - Phone
- (713) 500-6526
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
6431 Fannin St
Houston, TX 77030-1501
Mailing address
14608 Peregrine Dr
Pflugerville, TX 78660-4471
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All providers in Houston, TX · Student in an Organized Health Care Education/Training Program in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.