Provider Demographics
NPI:1407425168
Name:ABELL, LAURA PATRICIA (PA-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:PATRICIA
Last Name:ABELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 CEDAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76109-5758
Mailing Address - Country:US
Mailing Address - Phone:615-869-9673
Mailing Address - Fax:
Practice Address - Street 1:5720 CEDAR CREEK DR
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76109-5758
Practice Address - Country:US
Practice Address - Phone:615-869-9673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant