Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | S5816 | TX |
Y | 207QS0010X | Family Doctor - Sports Medicine | S5816 | TX |
NPI | 1043660178 |
---|---|
Provider Name | Dr. Sarah Abdellatif |
First Address | The Woodlands, TX 77382-2771 |
Second Address | The Woodlands, TX 77382-2771 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2016 |
Last Update Date | 25/08/2021 |