Provider Demographics
NPI:1699801738
Name:ABBAS, ASHRAF (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:ABBAS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 DULLES AVE APT 2304
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5727
Mailing Address - Country:US
Mailing Address - Phone:630-253-2342
Mailing Address - Fax:
Practice Address - Street 1:1201 DULLES AVE APT 2304
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5727
Practice Address - Country:US
Practice Address - Phone:630-253-2342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX721666163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine