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NPI Code Detail

MEDICARE: BERNARDINO FLORES ABAYA M.D.

MEDICARE: BERNARDINO FLORES ABAYA M.D.
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
1207RN0300XNephrology PhysicianJ2470TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3P00064045OTHERTXPALMETTO GBA RAILROAD
48AD670OTHERTXBCBS #

General Provider Information

NPI Number : 1740262013
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARDINO FLORES ABAYA M.D.
Provider Business Mailing Address
First Line : PO BOX 20149
Second Line :
City : HOUSTON
State : TX
Zip : 77225-0149
Country : US
Telephone Number : 713-383-7000
Fax Number : 713-383-7001
Provider Business Practice Location Address
First Line : 2517 DORRINGTON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1928
Country : US
Telephone Number : 713-383-7000
Fax Number : 713-383-7001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 04/21/2017

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Directions to “ BERNARDINO FLORES ABAYA M.D.” Practice Location

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