Provider Demographics
NPI:1033295258
Name:SABALESKY, DOREEN ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:DOREEN
Middle Name:ANN
Last Name:SABALESKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3327 UNDERWOOD STREET
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025
Mailing Address - Country:US
Mailing Address - Phone:713-799-1130
Mailing Address - Fax:713-839-1002
Practice Address - Street 1:3327 UNDERWOOD STREET
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025
Practice Address - Country:US
Practice Address - Phone:713-799-1130
Practice Address - Fax:713-839-1002
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH46652084P0800X
CAA0453742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000J11B8Medicaid
E81494Medicare UPIN
0J11BMedicare ID - Type Unspecified