| Organization Name: | ABRAHAM F SYRQUIN MD A PROFESSIONAL ASSOCIATION |
| NPI Number: | 1003894585 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ABRAHAM FINKLEBERG SYRQUIN (MEDICAL DIRECTOR) |
| Mailing Address: | 517 N Carrier Pkwy Suite A Grand Prairie |
| State: | TX US |
| Postal Code: | 750505484 |
| Phone Number: | 9722640533 |
| Fax Number: | 9722625974 |
| NPI Enumeration Date: | 01/05/2006 |
| NPI Last Update Date: | 01/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |