Organization
ABBOTT CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP DON ABBOTT MD (PRESIDENT)
(817) 590-2395
Entity
Organization
Contact information
Practice address
3700 RUFE SNOW DR, FORT WORTH, TX 76180-8848
(817) 590-2395
(817) 595-1445
Mailing address
3700 RUFE SNOW DR, FORT WORTH, TX 76180-8848
(817) 590-2395
(817) 595-1445
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
C8872
TX
207VG0400X
Gynecology Physician
C8872
TX
Other
Enumeration date
01/02/2008
Last updated
11/14/2013
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