Individual
DR. SANFORD JAY LUBETKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
7737 SOUTHWEST FREEWAY, SUITE 780, HOUSTON, TX 77074-1807
(713) 988-9512
(713) 988-9515
Mailing address
909 FROSTWOOD DR, SUITE 1.100, HOUSTON, TX 77024-2301
(713) 338-4523
(713) 338-5500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F4225
TX
207RI0011X
Interventional Cardiology Physician
F4225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060030664
RAILROAD MEDICARE
TX
05
—
100093701
—
TX
Enumeration date
08/15/2006
Last updated
02/06/2012
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