Individual
ABIGALE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Mailing address
601 OMEGA DR STE 208, ARLINGTON, TX 76014-2075
(817) 465-5881
(817) 465-6336
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
T1725
TX
207RP1001X
Pulmonary Disease Physician
Primary
T1725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T1725
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/15/2015
Last updated
09/02/2021
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