Provider Demographics
NPI:1205184579
Name:URIEGAS, SABRINA BUENO (MD)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:BUENO
Last Name:URIEGAS
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 1:3304 ARROWHEAD CIR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-1702
Mailing Address - Country:US
Mailing Address - Phone:512-388-4702
Mailing Address - Fax:
Practice Address - Street 1:620 ROUND ROCK WEST DR
Practice Address - Street 2:BUILDING #8
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5017
Practice Address - Country:US
Practice Address - Phone:512-827-7422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine