Provider Demographics
NPI:1912744152
Name:ABAWI, AUDREY (FNP-C)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:ABAWI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E HOUSTON ST FL 7
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2991
Mailing Address - Country:US
Mailing Address - Phone:210-572-4931
Mailing Address - Fax:
Practice Address - Street 1:5209 MCDADE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6398
Practice Address - Country:US
Practice Address - Phone:214-738-4001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily