MEDICARE: ESTELLA ABAM APRN-C

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	363LA2200X	Adult Health Nurse Practitioner	AP142801	TX
2	363LF0000X	Family Nurse Practitioner	88536	NM
3	363L00000X	Nurse Practitioner	AP142801	TX
4	363LG0600X	Gerontology Nurse Practitioner	AP142801	TX
5	363LP2300X	Primary Care Nurse Practitioner	AP142801	TX

General Provider Information

NPI Number	:	1669779773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTELLA ABAM APRN-C

Provider Business Mailing Address
First Line	:	2646 S LOOP W STE 220
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2646 S LOOP W STE 220
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2640
Country	:	US
Telephone Number	:	832-455-1161
Fax Number	:

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

Provider Enumeration Date	:	02/25/2011
Last Update Date	:	05/23/2026

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Directions to “ ESTELLA ABAM APRN-C” Practice Location

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