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Individual

MRS. RAYMOND CHRISTIAN SABO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10718 WALL FERN WAY, HOUSTON, TX 77034
(858) 436-4060
(713) 589-5599
Mailing address
3501 CHENEVERT ST APT 24, HOUSTON, TX 77004-4278

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
291U00000X
Clinical Medical Laboratory
343900000X
Non-emergency Medical Transport (VAN)
11788454
TX

Other

Enumeration date
11/12/2015
Last updated
08/01/2018
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