Provider Demographics
NPI:1760427371
Name:ABARBANELL, GINNIE LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:GINNIE
Middle Name:LEE
Last Name:ABARBANELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8435 WURZBACH RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3921
Mailing Address - Country:US
Mailing Address - Phone:210-450-7334
Mailing Address - Fax:210-450-2124
Practice Address - Street 1:8435 WURZBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3921
Practice Address - Country:US
Practice Address - Phone:210-450-7334
Practice Address - Fax:210-450-2124
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS8946208000000X, 2080P0202X
MO20170236442080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX386664202Medicaid
TX386664203OtherCSHCN
KY7100117990Medicaid
INI59238Medicare UPIN
IN200824550Medicaid
IN000000482927OtherANTHEM BCBS