Provider Demographics
NPI:1336555101
Name:-------------------------------------ABBY'S CDS FINANCIAL SERVICE LLC.
Entity Type:Organization
Organization Name:-------------------------------------ABBY'S CDS FINANCIAL SERVICE LLC.
Other - Org Name:ABBY'S CDS SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-222-1200
Mailing Address - Street 1:4650 S HAMPTON RD # 125
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-1066
Mailing Address - Country:US
Mailing Address - Phone:469-222-1200
Mailing Address - Fax:214-432-1700
Practice Address - Street 1:4650 S HAMPTON RD # 125
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1066
Practice Address - Country:US
Practice Address - Phone:469-222-1200
Practice Address - Fax:214-432-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty