Individual
DEENA ALSABTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
6431 FANNIN ST, OFFICE 6.240, HOUSTON, TX 77030
(206) 601-6781
Mailing address
2250 HOLLY HALL ST APT 190, HOUSTON, TX 77054-3937
(206) 601-6781
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12178
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741761309
—
TX
Enumeration date
08/02/2018
Last updated
08/02/2018
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