Provider Demographics
NPI:1124827456
Name:ABRAMIAN, ARBI
Entity type:Individual
Prefix:
First Name:ARBI
Middle Name:
Last Name:ABRAMIAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13571 NEEDHAM PL
Mailing Address - Street 2:
Mailing Address - City:WILLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77318-6816
Mailing Address - Country:US
Mailing Address - Phone:240-813-4696
Mailing Address - Fax:
Practice Address - Street 1:13571 NEEDHAM PL
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77318-6816
Practice Address - Country:US
Practice Address - Phone:240-813-4696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX312183310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1124827456Medicaid