Provider Demographics
NPI:1669832010
Name:ABOWD, MARIAN
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:ABOWD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 SLEEPY OAKS CIR
Mailing Address - Street 2:APT 3208
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2059
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2312 SLEEPY OAKS CIR
Practice Address - Street 2:APT 3208
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-2059
Practice Address - Country:US
Practice Address - Phone:832-247-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-27
Last Update Date:2018-02-28
Deactivation Date:2017-11-21
Deactivation Code:
Reactivation Date:2018-02-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program