Provider Demographics
NPI:1407178445
Name:JOSEPH A ABIJAY, MD PA
Entity Type:Organization
Organization Name:JOSEPH A ABIJAY, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH ALBERT
Authorized Official - Middle Name:LABIO
Authorized Official - Last Name:ABIJAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-218-9593
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79760-0192
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:318 N ALLEGHANEY AVE STE 302
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5081
Practice Address - Country:US
Practice Address - Phone:432-332-8856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM38332084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty