Individual provider · NPI-1
Dr. Paulette Ismalia Abbas, M.D.
Surgery, Pediatric Surgery · Dallas, TX
NPI number1982997011
StatusActive
Last updated in NPPESSep 29, 2020
Details
- NPI
- 1982997011
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paulette Ismalia Abbas
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2011
- Certification date
- Sep 29, 2020
- Last updated
- Sep 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | Q1339 | TX | Yes |
| 208600000X | Surgery | 558801 | TX |
Practice location
12200 Park Central Dr Ste 400Dallas, TX 75251-2116
Phone 214-483-9300
Mailing address
3115 Drexel DrDallas, TX 75205-2910
Other practice locations
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