| Doctor Name: | DR. PAUL ABIDE |
| NPI Number: | 1376544106 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 16898 |
| Business Practice Address: | 1585 S Range Ave Denham Springs, LA - 707265201 |
| Business Phone Number: | 2257910002 |
| Business Fax Number: | 2257910228 |
| Mailing Address: | Dept 960139, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731960001 |
| Phone Number: | 8774854474 |
| Fax Number: | 4058441794 |
| NPI Enumeration Date: | 08/02/2005 |
| NPI Last Update Date: | 08/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16898 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |