Email rcvd from: mpswebinquiries@amerigroup.com  Subject: RE: {EXTERNAL} Re: Delivery Status Notification (Failure) I-Q3-808   Provider Name: Abraham, Glory  NPI: 1194206490  Provider ID: 07116206  Tax ID: 270796429  Line of Business: Medicare  Effective Date: 1/1/2021  Status: Participating  Location: 779 Normandy St Ste 114  Houston  Plan Type:  -TX Medicare Dual Coordination Plus (HMO D-SNP)  -TX Amerivantage Choice (PPO) Medicare Network