Aboudib Advanced Pain Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ABOUDIB ADVANCED PAIN CENTER

Practice address

3120 W Southlake Blvd # 140
Southlake, TX 76092-6783

Phone

(817) 741-0808

NPI assigned

Jan 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tony G. Aboudib, D.C.

Title

President

Phone

(817) 741-0808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199491200000",
    "number": "1326223652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W SOUTHLAKE BLVD # 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926783",
            "telephone_number": "817-741-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W SOUTHLAKE BLVD # 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926783",
            "telephone_number": "817-741-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUDIB ADVANCED PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-01-05",
        "status": "A",
        "authorized_official_last_name": "ABOUDIB",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-741-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hikma Abdi
• Kameelah Abdul-Aziz, PMNHP
• Able Mobility and Medical Supply
• Michel Fares Abou-Obeid, D.M.D
• Aboudib Advanced Imaging Inc
• Jesstin Abraham, PT, DPT
• Manoj Abraham, O.D.
• Melissa Breanne Abraham, DPT
• Lauren Abramson, MSN, APRN, PMHNP-BC
• Academy Foot & Ankle Specialists, P.a.

• Clinic/Center in Southlake, TX
• Providers in Southlake, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.