Abraham Abdo, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Mesquite, TX
NPI 1619083326 · NPPES record last updated Dec 31, 2007
Key facts
- NPI
- 1619083326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- G0647 (TX)
- Practice address
- 2698 N Galloway Ave
Ste 105
Mesquite, TX 75150-6383 - Phone
- (972) 613-4488
- Fax
- (972) 613-1975
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050519000119 | TX | Practitioner - Orthopedic Surgery | 4688615784 | Practice locations: Mesquite, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C.H. Wang, DO, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G0647 | TX | Yes |
Addresses
Primary practice location
2698 N Galloway Ave
Ste 105
Mesquite, TX 75150-6383
Mailing address
2698 N Galloway Ave
Ste 105
Mesquite, TX 75150-6383
Phone (972) 613-4488
Other providers in Mesquite, TX
- Aab Solutions LLC
- Ab Family Medicine PLLC
- ABA Vibe LTD. Company
- Augusta Abazie
- Abc Psychiatry PLLC
- Zhilwan Abdullah
- Abentrix, Inc
- Sasso Lysette Abey
- Angela Chidinma Abiodun
- Tammi Abney
All providers in Mesquite, TX · Orthopaedic Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.