Ellis Nick Abdo in Fort Worth - Family Medicine
Ellis Nick Abdo - NPI 1720023963
Ellis Nick Abdo is a Family Medicine in Fort Worth, Texas. Ellis Nick Abdo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ellis Nick Abdo is 1720023963. The last update date is 2010-02-17.
Ellis Nick Abdo's current location address is 5701 Bryant Irvin Rd, Fort Worth, Texas. You can contact this provider via phone number 8173464200 and fax number 8173615031. The mailing address for Ellis Nick Abdo is 5701 Bryant Irvin Rd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis Nick Abdo |
|---|---|
| Address | 5701 Bryant Irvin Rd, Fort Worth, Texas |
| Phone Number | 8173464200 |
| Fax Number | 8173615031 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720023963 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2010-02-17 |
Provider Mailing Address Detail
| Address | 5701 Bryant Irvin Rd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761324029 |
| Phone Number | 8173464200 |
| Fax Number | 8173615031 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | D1279 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97532803 | TX | -- | |
| 8706B1 | TX | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Ellis Nick Abdo by the Centers for Medicare & Medicaid Services (CMS)?
The Ellis Nick Abdo has been assigned the NPI (National Provider Identifier) 1720023963. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Ellis Nick Abdo?
The Ellis Nick Abdo is situated at 5701 Bryant Irvin Rd, in the city of Fort Worth, state of TX, with the zip code 761324029.
What is the area of specialization for Ellis Nick Abdo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellis Nick Abdo is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When did Ellis Nick Abdo receive its 1720023963 assignment?
The Ellis Nick Abdo was assigned its 1720023963 on 2006-06-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Ellis Nick Abdo most recently updated?
The details pertaining to the Ellis Nick Abdo, including its address, specialty, and other relevant information, were last refreshed on 2010-02-17.