Abegaze, Brook

Abegaze, Brook is an individual health care provider with primary practice located at 1717 N Garrett Ave , Dallas TX 75206-7514. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Abegaze, Brook can be contacted via phone (214) 827-6880.

Contact Information

Primary practice address
1717 N Garrett Ave Dallas TX 75206-7514
Phone: (214) 827-6880
Fax: (214) 827-9092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10966 Texas

Profile Details

NPI number 1568911253
LBN Legal business name Abegaze, Brook
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2016
Last updated Dec 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568911253 NPPES
Texas MEDICAID 399895701

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