Provider Demographics
NPI:1679656763
Name:ABEL, PHILIP CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:CAROL
Last Name:ABEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2921 FAIRMOUNT ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-1456
Mailing Address - Country:US
Mailing Address - Phone:214-742-9310
Mailing Address - Fax:214-220-3119
Practice Address - Street 1:2921 FAIRMOUNT ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-1456
Practice Address - Country:US
Practice Address - Phone:214-742-9310
Practice Address - Fax:214-220-3119
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD6919207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine