Provider Demographics
NPI:1922750660
Name:ABASCAL, ADRIAN JULIO
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:JULIO
Last Name:ABASCAL
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 1:10558 BILBROOK PL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-2411
Mailing Address - Country:US
Mailing Address - Phone:512-998-6996
Mailing Address - Fax:
Practice Address - Street 1:825 MAIN ST STE 140
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-3273
Practice Address - Country:US
Practice Address - Phone:512-648-0610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01803171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist