Provider Demographics
NPI:1588798367
Name:ABADIE, J PAUL (PT, L AC)
Entity Type:Individual
Prefix:
First Name:J PAUL
Middle Name:
Last Name:ABADIE
Suffix:
Gender:M
Credentials:PT, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7155 SPANISH GRANT
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77554-7755
Mailing Address - Country:US
Mailing Address - Phone:409-996-8808
Mailing Address - Fax:800-820-2075
Practice Address - Street 1:6217 CENTRAL CITY BLVD.
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551
Practice Address - Country:US
Practice Address - Phone:409-996-8808
Practice Address - Fax:800-820-2075
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1075182225100000X
TXAC00723171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist