Provider Demographics
NPI:1386632776
Name:SABATINI, LUIS A (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:A
Last Name:SABATINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 CRENSHAW ROAD
Mailing Address - Street 2:STE 100
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3139
Mailing Address - Country:US
Mailing Address - Phone:281-487-3840
Mailing Address - Fax:281-487-3861
Practice Address - Street 1:5050 CRENSHAW ROAD
Practice Address - Street 2:STE 100
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3139
Practice Address - Country:US
Practice Address - Phone:281-487-3840
Practice Address - Fax:281-487-3861
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9317207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116051703Medicaid
TXG18146Medicare UPIN
TX116051703Medicaid