Organization · NPI-2

Abbott Clinic, PA

Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery · Fort Worth, TX

NPI number1437334042
StatusActive
Last updated in NPPESNov 14, 2013

Details

NPI
1437334042
Entity type
Organization (NPI-2)
Legal business name
Abbott Clinic, PA
Organization subpart
No
Enumeration date
Jan 2, 2008
Last updated
Nov 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic SurgeryC8872TXYes
207VG0400X Obstetrics & Gynecology, GynecologyC8872TX

Practice location

3700 Rufe Snow Dr
Fort Worth, TX 76180-8848

Phone 817-590-2395 · Fax 817-595-1445

Mailing address

3700 Rufe Snow Dr
Fort Worth, TX 76180-8848

Phone 817-590-2395 · Fax 817-595-1445

Authorized official

Philip Don Abbott
President
8175902395

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery providers in Fort Worth, TX