Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | K7242 | TX |
N | 111NI0900X | Internist | K7242 | TX |
Y | 207RR0500X | Rheumatology | K7242 | TX |
NPI | 1134123037 |
---|---|
Provider Name | Dr. Violeta Baddour |
First Address | Abilene, TX 79604-1198 |
Second Address | Abilene, TX 79601-2325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 11/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1518623 | (05) | TX |
H39971 | (02) | |
H39971 | (02) | TX |