ABIGAIL NISAN, MD
Osteopathic Medicine at Harris Ave, San Angelo, TX

License number
Texas P1676
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address
120 E Harris Ave, San Angelo, TX 76903
Phone
(325) 653-6741
(325) 481-2166 (Fax)
(325) 658-1511
National Provider ID: 1336445956
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ABIGAIL NISAN at bizstanding.com

ABIGAIL NISAN, MD, LLC

1934 Pne Vly, San Angelo, TX 76904

Registration:
Jan 21, 2014
State ID:
L14000011219
Business type:
Florida Limited Liability Company
Entity State:
FL
Abigail Nisan, 3649 Cedar Run Rd, Abilene, TX 79606 (Physical)
Agent:
Giovinco, Ian S, Esq,1219 N Franklin St, Tampa, FL 33602 (Physical)
FEI/EIN:
46-4574275

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