Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deepa Tony Abraham

Individual provider Registered Nurse · NPI 1760927172

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 St
Fort Worth, TX 76104-3149
Phone: (817) 923-8484
Show map & directions

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 number1760927172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 21, 2016
Last updated in NPPESMarch 17, 2018
Mailing address10416 Hollyhead Way, Yukon, OK 73099-7517

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
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