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Contact Information

ABBOTT CLINIC, PA
3700 RUFE SNOW DR
FORT WORTH, TX76180-8848
 Phone: 817-590-2395
 Fax: 817-595-1445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ABBOTT CLINIC, PA

NPI # 1437334042
LBN Legal business name ABBOTT CLINIC, PA
Authorized official PHILIP ABBOTT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2008
Last updated 11/14/2013 - About 13 years ago
Identifiers
TX License # C8872
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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