Provider Demographics
NPI:1154678399
Name:MICHAEL V ABENE MD PA
Entity Type:Organization
Organization Name:MICHAEL V ABENE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:ABENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-922-2456
Mailing Address - Street 1:3511 CORONDO CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3729
Mailing Address - Country:US
Mailing Address - Phone:713-699-9413
Mailing Address - Fax:713-699-9413
Practice Address - Street 1:7500 SAN FELIPE ST
Practice Address - Street 2:STE 525
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1723
Practice Address - Country:US
Practice Address - Phone:713-465-9282
Practice Address - Fax:713-465-9248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ68392084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ6839OtherTEXAS MEDICAL LICENSE
TXTXB159833Medicare PIN