Victor E Abolo

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Houston, TX

NPI 1154507366 · NPPES record last updated Jan 17, 2008

Key facts

NPI
1154507366
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3111 Cinnamon Glen Dr
Houston, TX 77073-6107
Phone
(832) 275-6712
Fax
(281) 443-3449
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Groove Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3111 Cinnamon Glen Dr
Houston, TX 77073-6107

Mailing address

3111 Cinnamon Glen Dr
Houston, TX 77073-6107
Phone (832) 275-6712

Other providers in Houston, TX

All providers in Houston, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.