Organization Active NPI

Abbott Clinic, PA

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Fort Worth, TX
National Provider Identifier
1437334042
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
C8872 Issued in TX
Legal business name
ABBOTT CLINIC, PA
Practice address
3700 Rufe Snow Dr
Fort Worth, TX 76180-8848
Phone
(817) 590-2395
Fax
(817) 595-1445
NPI assigned
Jan 2, 2008
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Dr. Philip Don Abbott, MDNPI 1811990401
Title
President
Phone
(817) 590-2395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X C8872 TX
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X C8872 TX Primary

Addresses

Primary practice location

3700 Rufe Snow Dr
Fort Worth, TX 76180-8848

Mailing address

3700 Rufe Snow Dr
Fort Worth, TX 76180-8848
Phone (817) 590-2395

National Provider Directory

National Provider Directory

Locations

3700 Rufe Snow Dr
Ste 200
North Richland Hills, TX 76180
Phone (817) 590-2395

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1437334042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 RUFE SNOW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761808848",
            "telephone_number": "817-590-2395",
            "fax_number": "817-595-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RUFE SNOW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761808848",
            "telephone_number": "817-590-2395",
            "fax_number": "817-595-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-590-2395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "C8872",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "C8872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.