Organization
LUCIANO J SARABOSING JR., MD, PA
Active
Other names
Caring Hands Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIANO JO SARABOSING JR. M.D. (PEDIATRICIAN)
(361) 578-3604
Entity
Organization
Contact information
Practice address
2108 N LAURENT ST, VICTORIA, TX 77901-5451
(361) 578-3604
(361) 576-4397
Mailing address
2108 N LAURENT ST, VICTORIA, TX 77901-5451
(361) 578-3604
(361) 576-4397
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J7177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
TX
01
—
0038MN
BLUECROSSBLUESHIELD
TX
05
—
135718809
—
TX
05
—
170867901
—
TX
05
—
170867902
—
TX
01
—
208000000X
TAXONOMY
TX
01
—
45D1037942
CLIA
TX
01
—
J7177
TEXAS MED LICENSE
TX
01
—
N0089582
DPS
TX
Enumeration date
06/08/2007
Last updated
03/07/2023
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