Provider Demographics
NPI:1124063680
Name:ABRAHIM, ALBER R (MD)
Entity type:Individual
Prefix:
First Name:ALBER
Middle Name:R
Last Name:ABRAHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALBER
Other - Middle Name:R
Other - Last Name:ABRAHIM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:16811 MIDDLE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-4033
Mailing Address - Country:US
Mailing Address - Phone:281-481-9595
Mailing Address - Fax:281-481-0692
Practice Address - Street 1:10851 SCARSDALE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-5714
Practice Address - Country:US
Practice Address - Phone:281-481-9595
Practice Address - Fax:281-481-0692
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137361502Medicaid
TX137361501Medicaid
TX137361512Medicaid
TX137361502Medicaid
TX00128LMedicare PIN