Deborah Joy Abascal-McCown, MAT, ATC, LAT
Individual provider Active NPI Athletic Trainer · El Paso, TX
NPI 1942835541 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1942835541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT4768 (TX)
- Practice address
- 12401 Edgemere Blvd
El Paso, TX 79938-4484 - Phone
- (915) 937-3555
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4768 | TX | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT4768 | TX | Yes |
Addresses
Primary practice location
12401 Edgemere Blvd
El Paso, TX 79938-4484
Mailing address
1164 Spofford PL
El Paso, TX 79928-5878
Phone (915) 433-0489
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.