Healthcare Provider Details

I. General information

NPI: 1285874867
Provider Name (Legal Business Name): FSJ MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 12/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 GREEN OAK DR SUITE 150
KINGWOOD TX
77339-2048
US

IV. Provider business mailing address

526 KINGWOOD DR SUITE 421
KINGWOOD TX
77339-4473
US

V. Phone/Fax

Practice location:
  • Phone: 832-726-6776
  • Fax: 832-262-4628
Mailing address:
  • Phone: 832-726-6776
  • Fax: 832-262-4628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberJ2773
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberJ2773
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberJ2773
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License NumberJ2773
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberJ2773
License Number StateTX

VIII. Authorized Official

Name: DR. FELIX NABOR SABATES JR.
Title or Position: DOCTOR
Credential: M.D
Phone: 713-876-3534