Provider Demographics
NPI:1184868010
Name:TAUSEND, ABBY ELIZABETH (MD)
Entity type:Individual
Prefix:MS
First Name:ABBY
Middle Name:ELIZABETH
Last Name:TAUSEND
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 1:739 BISON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4432
Mailing Address - Country:US
Mailing Address - Phone:409-392-5662
Mailing Address - Fax:
Practice Address - Street 1:739 BISON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4432
Practice Address - Country:US
Practice Address - Phone:409-392-5662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LAMD.204466207P00000X
TXP1497207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1184868010OtherTRICARE SOUTH
TX301961401Medicaid
TX8DF990OtherBCBS-TX
TX1184868010OtherTRICARE SOUTH
TXTXB154369Medicare PIN