Provider Demographics
NPI:1831896216
Name:AGBABIAN, SABRINA ELISABETH (PA-C)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ELISABETH
Last Name:AGBABIAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2102 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2108
Mailing Address - Country:US
Mailing Address - Phone:310-663-8493
Mailing Address - Fax:
Practice Address - Street 1:6651 MAIN ST STE E1420
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2432
Practice Address - Country:US
Practice Address - Phone:832-826-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING2080P0203X
TXPA16616363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine