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Carl Jeremy Abustan, DO

Student in an Organized Health Care Education/Training Program in Fort Hood, TX. Individual provider (NPI-1).

NPI number1386582864
StatusActive
Last updated in NPPESJul 14, 2026

Details

NPI
1386582864
Entity type
Individual (NPI-1)
Name
Carl Jeremy Abustan
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2026
Certification date
Jul 14, 2026
Last updated
Jul 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
171000000X Military Health Care Provider–TX

Practice location

590 Medical Center Rd
Fort Hood, TX 76544-5060

Phone 254-553-9089

Mailing address

1965 Chelmsford Pl
Hoffman Estates, IL 60169-2532

Phone 847-899-0785

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Other Student in an Organized Health Care Education/Training Program providers in Fort Hood, TX

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