Healthcare Provider Details

I. General information

NPI: 1609597194
Provider Name (Legal Business Name): WILLIAM ABALOS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 09/05/2022
Certification Date: 09/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2306 RAYFORD RD STE 300
SPRING TX
77386-1707
US

IV. Provider business mailing address

3814 CYPRESSWOOD DR
SPRING TX
77388-5728
US

V. Phone/Fax

Practice location:
  • Phone: 281-863-9944
  • Fax:
Mailing address:
  • Phone: 832-661-8662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1368080
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: