Provider Demographics
NPI:1386055382
Name:SUBRT, ADRIAN (MD)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:SUBRT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 W GRAND PKWY N STE 370
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2737
Mailing Address - Country:US
Mailing Address - Phone:281-392-1177
Mailing Address - Fax:281-392-1125
Practice Address - Street 1:1331 W GRAND PKWY N STE 370
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2737
Practice Address - Country:US
Practice Address - Phone:281-392-1177
Practice Address - Fax:281-392-1125
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5213207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology