Provider Demographics
NPI:1588621692
Name:ABATE, NICOLA (MD)
Entity Type:Individual
Prefix:
First Name:NICOLA
Middle Name:
Last Name:ABATE
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 1:901 KIPP AVE
Mailing Address - Street 2:
Mailing Address - City:KEMAH
Mailing Address - State:TX
Mailing Address - Zip Code:77565-2944
Mailing Address - Country:US
Mailing Address - Phone:409-370-4030
Mailing Address - Fax:281-371-6682
Practice Address - Street 1:4002 GARTH RD STE 120
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3179
Practice Address - Country:US
Practice Address - Phone:281-628-7240
Practice Address - Fax:281-428-4044
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4840207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism