Mcreynolds, Abigail Nance

Mcreynolds, Abigail Nance is an individual health care provider with primary practice located at 3010 Williams Dr Suite 177, Georgetown TX 78628-2764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcreynolds, Abigail Nance can be contacted via phone (512) 868-3376.

Contact Information

Primary practice address
3010 Williams Dr Suite 177 Georgetown TX 78628-2764
Phone: (512) 868-3376
Fax: (512) 869-5868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06083 Texas

Profile Details

NPI number 1821230939
LBN Legal business name Mcreynolds, Abigail Nance
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2009
Last updated Jul 1st, 2013 - about 11 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 1821230939 NPPES
Texas MEDICAID 289385101

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