Provider Demographics
NPI:1396040903
Name:ABREGO, MICHAEL DRU (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DRU
Last Name:ABREGO
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:6807 EMMETT F LOWRY EXPY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2546
Mailing Address - Country:US
Mailing Address - Phone:409-935-2995
Mailing Address - Fax:409-935-3433
Practice Address - Street 1:6807 EMMETT F LOWRY EXPY
Practice Address - Street 2:SUITE 303
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2546
Practice Address - Country:US
Practice Address - Phone:409-935-2995
Practice Address - Fax:409-935-3433
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2012-04-24
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Provider Licenses
StateLicense IDTaxonomies
TXPA07194363AM0700X, 363LC0200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care