Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G8558 | TX |
NPI | 1013928720 |
---|---|
Provider Name | Dr. Dennis Rahim Abbas |
First Address | Dallas, TX 75228-7101 |
Second Address | Dallas, TX 75228-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B20747 | (02) | TX |