Individual
ABIGAIL LEWADOWSKI SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6161 N STATE HIGHWAY 161, IRVING, TX 75038-2220
(972) 258-7499
(972) 257-0897
Mailing address
6161 N STATE HIGHWAY 161, IRVING, TX 75038-2220
(972) 258-7499
(972) 257-0897
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471477YZNA
MEDICARE NUMBER
TX
Enumeration date
02/04/2009
Last updated
10/03/2024
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