Deepa Tony Abraham
Deepa Tony Abraham is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2016, 10 years ago. Practices with John Allen Van Wagoner, MD, PA, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma and Texas.
- Years since qualifying
- 10
- Licensed in
- OK, TX
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
609 Hemphill StFort Worth, TX 76104-3149
Phone: (817) 923-8484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 10416 Hollyhead Way, Yukon, OK 73099-7517 — (405) 371-8891
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence AP133659 (TX) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 95153 (OK) |
Record details
| NPI number | 1760927172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 21, 2016 |
| Last updated in NPPES | March 17, 2018 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | John Allen Van Wagoner, Md, Pa — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Worth
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Mrs. Joy Fields Abraham, NURSEPRACTITIONER
1301 W 7th St Ste 121, Fort Worth, TX 76102-2651 · (817) 348-0425
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Olayinka Ademola, RN
3840 Hulen St, Fort Worth, TX 76107-7277 · (817) 335-3022
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Oluwatomilayo Adewale, RN
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Frank Uba Adindu, RN
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