Ab Family Medicine PLLC
Organization Active NPI Family Nurse Practitioner · Mesquite, TX
NPI 1639640923 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1639640923
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- AB FAMILY MEDICINE PLLC
- Practice address
- 3605 Interstate 30 Ste B
Mesquite, TX 75150-2674 - Phone
- (945) 293-6300
- Fax
- (945) 293-6303
- NPI assigned
- Dec 11, 2018
- Organization subpart
- No
Authorized official
- Name
- Angel Alberto De Armas, FNP-BC
- Title
- Aprn/Owner
- Phone
- (786) 319-7407
Practitioners 1
-
Angel De Armas, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2309142 | Ab Family Medicine PLLC | Certificate of waiver | Aug 8, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240612003490 | TX | Part B Supplier - Clinic/Group Practice | 5294277612 |
Receives reassigned benefits from 1 practitioner Practice locations: Mesquite, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
3605 Interstate 30 Ste B
Mesquite, TX 75150-2674
Mailing address
3605 Interstate 30 Ste B
Mesquite, TX 75150-2674
Phone (945) 293-6300
Other names
- AB Family Medicine, PLLC
Other providers in Mesquite, TX
- A-Absolute Healthcare and Rehabilitation
- A-Medical Housecalls
- A-Unified Home Health Agency Inc
- A&R Medical Supplies and Diagnostics, LLC
- Aab Solutions LLC
- ABA Vibe LTD. Company
- Augusta Abazie
- Abc Psychiatry PLLC
- Abraham Abdo
- Zhilwan Abdullah
All providers in Mesquite, TX · Family Nurse Practitioner 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 9, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.