Organization Active NPI

Abo-Auda Associates PLLC

  • Specialist
  • Sherman, TX
National Provider Identifier
1083975429
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N3413 Issued in TX
Legal business name
ABO-AUDA ASSOCIATES PLLC
Practice address
300 N Highland Ave
365
Sherman, TX 75092-7388
Phone
(903) 892-2030
Fax
(903) 892-2067
NPI assigned
Jun 1, 2012
Last updated
Jun 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wael S Abo-Auda, MDNPI 1891782512
Title
Owner
Phone
(903) 892-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N3413 TX Primary

Addresses

Primary practice location

300 N Highland Ave
365
Sherman, TX 75092-7388

Mailing address

300 N Highland Ave
365
Sherman, TX 75092-7388
Phone (903) 892-2030

Other identifiers 1

IdentifierTypeStateIssuer
1891782512OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000489 TX Part B Supplier - Clinic/Group Practice 7517123094 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX; Sherman, TX

National Provider Directory

National Provider Directory

Locations

101 US Highway 75
Bldg 100
Denison, TX 75020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1083975429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE",
            "address_2": "365",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927388",
            "telephone_number": "903-892-2030",
            "fax_number": "903-892-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE",
            "address_2": "365",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927388",
            "telephone_number": "903-892-2030",
            "fax_number": "903-892-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABO-AUDA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "ABO-AUDA",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-892-2030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N3413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1891782512",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.