| Doctor Name: | MR. VICENTE ABAD VITUG |
| NPI Number: | 1417177882 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1036531 |
| Business Practice Address: | 8615 Freeport Pkwy Ste 225 Irving, TX - 750631984 |
| Business Phone Number: | 9728123299 |
| Business Fax Number: | 8668614265 |
| Mailing Address: | 1117 Clear Creek Dr, MESQUITE |
| State: | TX |
| Postal Code: | 751814292 |
| Phone Number: | 9722223814 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1036531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |