Healthcare Provider Details

I. General information

NPI: 1720310543
Provider Name (Legal Business Name): SABRINA MONIQUE FELTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3226 COLLIN CV
SAN ANTONIO TX
78253-5698
US

IV. Provider business mailing address

3226 COLLIN CV
SAN ANTONIO TX
78253-5698
US

V. Phone/Fax

Practice location:
  • Phone: 301-461-2072
  • Fax:
Mailing address:
  • Phone: 301-461-2072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License NumberQ9993
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number01070979A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: