Ab Medical Associates PA
Organization Active NPI Ambulatory Family Planning Facility · Irving, TX
NPI 1508942079 · NPPES record last updated Sep 20, 2007
Key facts
- NPI
- 1508942079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Family Planning Facility 261QA0005X
- License
- H8008 (TX)
- Legal business name
- AB MEDICAL ASSOCIATES PA
- Practice address
- 3989 N Belt Line Rd
Irving, TX 75038-5706 - Phone
- (972) 258-0951
- Fax
- (972) 255-9975
- NPI assigned
- Oct 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BELTLINE HEALTH AND MEDICAL CENTER
Authorized official
- Name
- Dr. Kenneth Wayne Dott, D.O.
- Title
- President
- Phone
- (972) 258-7838
Practitioners 2
-
Kenneth Wayne Dott, D.O.
-
Gregory A Dott, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051115000643 | TX | Part B Supplier - Clinic/Group Practice | 5294754693 |
Receives reassigned benefits from 1 practitioner Practice locations: Irving, TX |
National Provider Directory
- Part of
- Beltline Health Medical
Locations
2401 W Airport Fwy
Irving, TX 75062
Phone (214) 389-3180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | H8008 | TX | Yes |
Addresses
Primary practice location
3989 N Belt Line Rd
Irving, TX 75038-5706
Mailing address
2401 W Airport Fwy
Irving, TX 75062-6016
Phone (972) 258-7838
Other names
- Irving Health And Medical Center
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All providers in Irving, TX · Ambulatory Family Planning Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.