Provider Demographics
NPI:1881115442
Name:BIESMAN, ABEL EUGENE (DO)
Entity type:Individual
Prefix:
First Name:ABEL
Middle Name:EUGENE
Last Name:BIESMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1665 ANTILLEY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5271
Mailing Address - Country:US
Mailing Address - Phone:325-437-8602
Mailing Address - Fax:325-266-9393
Practice Address - Street 1:1665 ANTILLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5271
Practice Address - Country:US
Practice Address - Phone:325-437-8634
Practice Address - Fax:325-266-9393
Is Sole Proprietor?:No
Enumeration Date:2017-07-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS16885207Q00000X
FLOU5757390200000X
TXT3436207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOU5757OtherFLORIDA BOARD OF OSTEOPATHIC MEDICINE
FLOS16885OtherFLORIDA BOARD OF OSTEOPATHIC MEDICINE
TXT3436OtherTEXAS BOARD OF OSTEOPATHIC MEDICINE