MEDICARE: ADRIAN JULIO ABASCAL

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	171100000X	Acupuncturist	01803	TX

General Provider Information

NPI Number	:	1922750660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN JULIO ABASCAL

Provider Business Mailing Address
First Line	:	10558 BILBROOK PL
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-2411
Country	:	US
Telephone Number	:	512-998-6996
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 MAIN ST STE 140
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-3273
Country	:	US
Telephone Number	:	512-648-0610
Fax Number	:

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

Provider Enumeration Date	:	01/24/2022
Last Update Date	:	02/15/2022

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Directions to “ ADRIAN JULIO ABASCAL ” Practice Location

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