Healthcare Provider Details

I. General information

NPI: 1750947313
Provider Name (Legal Business Name): ABIGAIL FLORENCE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W CENTRAL TEXAS EXPY STE 255
HARKER HEIGHTS TX
76548-1991
US

IV. Provider business mailing address

800 W CENTRAL TEXAS EXPY STE 255
HARKER HEIGHTS TX
76548-1991
US

V. Phone/Fax

Practice location:
  • Phone: 254-618-1060
  • Fax: 254-618-1065
Mailing address:
  • Phone: 254-618-1060
  • Fax: 254-618-1065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberW7026
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: