Provider Demographics
NPI:1285874867
Name:FSJ MD, PLLC
Entity type:Organization
Organization Name:FSJ MD, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:NABOR
Authorized Official - Last Name:SABATES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:713-876-3534
Mailing Address - Street 1:526 KINGWOOD DR
Mailing Address - Street 2:SUITE 421
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4473
Mailing Address - Country:US
Mailing Address - Phone:832-726-6776
Mailing Address - Fax:832-262-4628
Practice Address - Street 1:2300 GREEN OAK DR
Practice Address - Street 2:SUITE 150
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2048
Practice Address - Country:US
Practice Address - Phone:832-726-6776
Practice Address - Fax:832-262-4628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2773207W00000X, 2082S0099X, 208VP0014X, 261QA1903X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F23242Medicare UPIN