Individual
ABIGAIL NISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 653-6741
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P1676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8EW479
BCBS
TX
Enumeration date
01/28/2011
Last updated
01/22/2015
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