MEDICARE: DR. OSCAR D ABBOTT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	E0771	TX

General Provider Information

NPI Number	:	1871573527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSCAR D ABBOTT MD

Provider Business Mailing Address
First Line	:	7111 FAIRWAY DR
Second Line	:	SUITE 400
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4204
Country	:	US
Telephone Number	:	561-712-6265
Fax Number	:	561-712-7349

Provider Business Practice Location Address
First Line	:	301 N FRIO ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3034
Country	:	US
Telephone Number	:	210-271-3111
Fax Number	:	210-735-1305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/08/2007

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