Provider Demographics
NPI:1639640923
Name:AB FAMILY MEDICINE.PLLC
Entity Type:Organization
Organization Name:AB FAMILY MEDICINE.PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE ARMAS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:786-319-7407
Mailing Address - Street 1:3605 INTERSTATE 30 STE B
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2674
Mailing Address - Country:US
Mailing Address - Phone:945-293-6300
Mailing Address - Fax:945-293-6303
Practice Address - Street 1:3605 INTERSTATE 30 STE B
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2674
Practice Address - Country:US
Practice Address - Phone:945-293-6300
Practice Address - Fax:945-293-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily