DR. ABRAHAM FINKLEBERG SYRQUIN


Address: 517 N Carrier Pkwy, Suite A, Grand Prairie, TX 75050-5484
Phone: 9723390990

DR. ABRAHAM FINKLEBERG SYRQUIN (NPI# 1619955184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619955184
Entity Type Individual
Full Name DR. ABRAHAM FINKLEBERG SYRQUIN
Credential M.D.
Practice Address 517 N Carrier Pkwy
Suite A
Grand Prairie
TX 75050-5484
Practice Telephone 9723390990
Practice Fax Number 8174606183
Mailing Telephone 9723390990
Mailing Fax Number 8174606183
Enumeration Date 2006-01-05
Last Update Date 2016-08-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist TX Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX RAILROAD MEDICARE 022039636 01
TX 110384803 05
TX AMERIGROUP TAXONOMY ZZ 261QA1903X 01

Office Location

Street Address 517 N CARRIER PKWY
SUITE A
City GRAND PRAIRIE
State TX
Zip Code 75050-5484

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083614283 Elmer Lee Kelso Anesthesiology 517 N Carrier Pkwy, Suite A, Grand Prairie, TX 75050-5484 2005-07-28
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1679768212 Trinity Neurodiagnostics LLC Specialist/Technologist, Other 517 N Carrier Pkwy, Grand Prairie, TX 75050-5484 2007-09-06
1215000898 Michael D. Anderson Chiropractor 517 N Carrier Pkwy, Grand Prairie, TX 75050-5484 2006-11-15

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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NPI Name Taxonomy Address Enumeration
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1285044016 Jason Daniel Mccoy Specialist 925 W Pioneer Pkwy, Suite D., Grand Prairie, TX 75051-4735 2014-05-01
1821394685 Jw Surgical Assist Specialist 1208 Gaines Mills Rd, Grand Prairie, TX 75052-1652 2011-01-26
1356359897 B Rai Mehta Md Specialist 550 S Carrier Pkwy, 450, Grand Prairie, TX 75051-1500 2006-08-03
1003100173 Misi, Pa Specialist 5224 S State Highway 360, Suite 230, Grand Prairie, TX 75052-0950 2011-06-06

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Competitor

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City GRAND PRAIRIE
Zip Code 75050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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