Provider Demographics
NPI:1790958999
Name:ABRINICA, MARK
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:ABRINICA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 E TRINITY MILLS RD
Mailing Address - Street 2:STE 203
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2545
Mailing Address - Country:US
Mailing Address - Phone:972-418-2273
Mailing Address - Fax:972-417-5828
Practice Address - Street 1:2810 E TRINITY MILLS RD
Practice Address - Street 2:STE 203
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2545
Practice Address - Country:US
Practice Address - Phone:972-418-2273
Practice Address - Fax:972-417-5828
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9913111NR0400X
172A00000X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No172A00000XOther Service ProvidersDriver
No171W00000XOther Service ProvidersContractor