Provider Demographics
NPI:1316989783
Name:SARABIA, EMILIO ALBERT JR (DDS)
Entity type:Individual
Prefix:
First Name:EMILIO
Middle Name:ALBERT
Last Name:SARABIA
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4603 CYPRESS BEND CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1291
Mailing Address - Country:US
Mailing Address - Phone:281-412-2163
Mailing Address - Fax:
Practice Address - Street 1:7919 PARK PLACE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-4641
Practice Address - Country:US
Practice Address - Phone:713-644-3002
Practice Address - Fax:713-645-2623
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16938122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist