Healthcare Provider Details

I. General information

NPI: 1992615546
Provider Name (Legal Business Name): ISMAEL J SANABRIA PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26626 BELLWOOD PINES DR
KATY TX
77494-0556
US

IV. Provider business mailing address

26626 BELLWOOD PINES DR
KATY TX
77494-0556
US

V. Phone/Fax

Practice location:
  • Phone: 832-682-6260
  • Fax:
Mailing address:
  • Phone: 832-682-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: