Individual
DR. BRADLEY SABLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,C.M.
Contact information
Practice address
1515 HOLCOMBE BLVD, UNIT 1478, HOUSTON, TX 77030-4009
(713) 792-3674
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K9651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044951401
—
TX
01
—
044951402
MEDICAID- CSHCN
TX
Enumeration date
04/20/2006
Last updated
10/23/2020
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