Provider Demographics
NPI:1407087323
Name:ABREU SERRANO, ATILIO (MD)
Entity Type:Individual
Prefix:
First Name:ATILIO
Middle Name:
Last Name:ABREU SERRANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 JAMES BOWIE DR STE C104
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-3356
Mailing Address - Country:US
Mailing Address - Phone:346-775-8485
Mailing Address - Fax:346-775-4528
Practice Address - Street 1:1600 JAMES BOWIE DR STE C104
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3356
Practice Address - Country:US
Practice Address - Phone:346-775-8485
Practice Address - Fax:346-775-4528
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0123207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine