MEDICARE: ROBERT ABBATE DO PLLC

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	207R00000X	Internal Medicine Physician	N4873	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TXB117162	OTHER	TX	MEDICARE

General Provider Information

NPI Number	:	1811204670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT ABBATE DO PLLC

Provider Business Mailing Address
First Line	:	10100 N CENTRAL EXPY
Second Line	:	STE 250
City	:	DALLAS
State	:	TX
Zip	:	75231-4159
Country	:	US
Telephone Number	:	972-292-7258
Fax Number	:

Provider Business Practice Location Address
First Line	:	10100 N CENTRAL EXPY
Second Line	:	STE 250
City	:	DALLAS
State	:	TX
Zip	:	75231-4159
Country	:	US
Telephone Number	:	972-292-7258
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT ABBATE
Credential	:	D.O.
Telephone Number	:	972-292-7258

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	06/18/2016

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