Provider Demographics
NPI:1760771844
Name:TOMATIS, ABEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:ABEL
Middle Name:
Last Name:TOMATIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 N BUCKNER BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-4861
Mailing Address - Country:US
Mailing Address - Phone:214-932-5270
Mailing Address - Fax:
Practice Address - Street 1:2909 N BUCKNER BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-4861
Practice Address - Country:US
Practice Address - Phone:214-932-5270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34306103TC1900X
TX33587103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling