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Contact Information

ABIOLA A ADAMS, PA
5108 PECOS RIVER TRL
APT.2115
FORT WORTH, TX76132-1296
 Phone: 469-247-5412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ABIOLA A ADAMS · (Male)

NPI # 1992059158
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/08/2012
Last updated 07/26/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # PA08325
  • TX Medicaid 315211801
  • TX Medicaid 315211802
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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