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General NPI Number Information
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NPI Number | 1013941095
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Entity Type | Individual
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Provider Name | FLEURETTE WILHEIMINA ABREO MBBS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 2915 MISSOURI AVE
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City | SHREVEPORT
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State | LA
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Zip | 71109-4327
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Country | US
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Telephone | 318-621-8820
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Fax | 318-212-4189
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Provider Business Mailing Address
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Address Line | PO BOX 731280
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City | DALLAS
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State | TX
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Zip | 75373-1280
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Country | US
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Telephone | 318-841-9526
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Fax | 318-841-9551
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 06698R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD.06698R
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License Number State | LA
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