Active NPI
Abbott Clinic, PA
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- C8872
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Don Abbott, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- North Richland Hills, TX
- NPI 1811990401
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.