Provider Demographics
NPI:1447819636
Name:ABIGAIL HEALTH CARE DIABETES CLINIC
Entity type:Organization
Organization Name:ABIGAIL HEALTH CARE DIABETES CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ARNP, FNP-BC
Authorized Official - Phone:713-393-7641
Mailing Address - Street 1:513 WATERSIDE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-1623
Mailing Address - Country:US
Mailing Address - Phone:956-789-2985
Mailing Address - Fax:
Practice Address - Street 1:10,000 EMMETT F. LOWRY, SUITE 4000,UNIT 200D,
Practice Address - Street 2:EXECUTIVE SUITE #23
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-7759
Practice Address - Country:US
Practice Address - Phone:713-393-7641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center