Organization
BERNARDINO FLORES ABAYA M.D.,PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARDINO FLORES ABAYA M.D. (MANAGING PHYSICIAN)
(713) 383-7000
Entity
Organization
Contact information
Practice address
2517 DORRINGTON ST, HOUSTON, TX 77030-1928
(713) 383-7000
Mailing address
PO BOX 20149, HOUSTON, TX 77225-0149
(713) 383-7000
(713) 383-7001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J2470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059PS
BCBS GROUP #
TX
01
—
1466689
MEDICAID OF LOUISIANA
TX
01
—
DA5833
PALMETTO GBA RAILROAD
—
01
—
P00064045
RAILROAD MEDICARE
TX
Enumeration date
05/29/2007
Last updated
02/21/2008
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