Provider Demographics
NPI:1255922944
Name:ABADA, PLLC
Entity type:Organization
Organization Name:ABADA, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-205-4995
Mailing Address - Street 1:600 PINTAIL PL
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7121
Mailing Address - Country:US
Mailing Address - Phone:940-453-4711
Mailing Address - Fax:
Practice Address - Street 1:8840 CYPRESS WATERS BLVD STE 150
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4780
Practice Address - Country:US
Practice Address - Phone:972-876-3214
Practice Address - Fax:833-437-1270
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABADA, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-27
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty