Individual
MICHAEL SUDBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3320 BROADWAY ST STE 108, PEARLAND, TX 77581-4376
(281) 809-5519
Mailing address
5923 BOGIE WAY, PASADENA, TX 77505-3040
(832) 528-5533
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2113141
TX
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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