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Contact Information

BEVERLY A ABBOTT
107 WOODBINE PL
UNIT 775
LONGVIEW, TX75601-2912
 Phone: 903-237-2315
 Fax: 903-757-8294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BEVERLY A ABBOTT · (Female)

NPI # 1164724522
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2010
Last updated 11/17/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 64367
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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