NPI | 1912123167 |
---|---|
Former Legal Business Name | DWAYNE M. ABOUD, MD PA |
Entity Type | Organization |
Authorized Contact | PATRICIA CORONADO Practice Manager 915-845-4024 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2007-04-17 |
Last Update Date | 2021-04-14 |