Provider Demographics
NPI:1528849536
Name:BULIGA, ABIGAIL AMARYLLIS (PA-C)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:AMARYLLIS
Last Name:BULIGA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20027 SNUG HBR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-9317
Mailing Address - Country:US
Mailing Address - Phone:214-991-0178
Mailing Address - Fax:
Practice Address - Street 1:9947 N MACARTHUR BLVD STE 150
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-4716
Practice Address - Country:US
Practice Address - Phone:817-725-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty