Provider Demographics
NPI:1568445351
Name:ABUABARA, SABAS FATULE (MD)
Entity type:Individual
Prefix:DR
First Name:SABAS
Middle Name:FATULE
Last Name:ABUABARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:730 N MAIN
Mailing Address - Street 2:SUITE 704
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-1152
Mailing Address - Country:US
Mailing Address - Phone:210-271-0264
Mailing Address - Fax:210-271-7248
Practice Address - Street 1:730 N MAIN
Practice Address - Street 2:SUITE 704
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-1152
Practice Address - Country:US
Practice Address - Phone:210-271-0264
Practice Address - Fax:210-271-7248
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG-1596208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSC52Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER