Provider Demographics
NPI:1821397316
Name:DYM, ABIGAIL C (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:C
Last Name:DYM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:L
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:7560 GLENVIEW DR STE 110
Mailing Address - Street 2:
Mailing Address - City:RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8374
Mailing Address - Country:US
Mailing Address - Phone:817-284-2700
Mailing Address - Fax:817-284-2701
Practice Address - Street 1:7560 GLENVIEW DR STE 110
Practice Address - Street 2:
Practice Address - City:RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180
Practice Address - Country:US
Practice Address - Phone:817-284-2700
Practice Address - Fax:817-284-2701
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX798349363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily