Provider Demographics
NPI:1780371377
Name:DUBON, ABIGAIL STEFANIE (DC)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:STEFANIE
Last Name:DUBON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4805 SUNNY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-8929
Mailing Address - Country:US
Mailing Address - Phone:972-589-9788
Mailing Address - Fax:
Practice Address - Street 1:4805 SUNNY BROOK DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-8929
Practice Address - Country:US
Practice Address - Phone:972-589-9788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15330111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor