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Bruce Fernando Sabath

Internal Medicine

Allopathic & Osteopathic Physicians

1515 Holcombe Blvd, Houston, TX 77030-4000

PECOS Enrollment

This provider is enrolled in PECOS as BRUCE SABATH.

Based on the most recent information from CMS, provider Bruce Fernando Sabath is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1245440734
Provider Type
Individual
Full Name
Sabath, Bruce Fernando
Title
Mr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/23/2007
Last Updated
3/11/2020

Contact Information

Practice Location

1515 Holcombe Blvd, Houston, TX 77030-4000

(713) 792-6161

Unlisted Fax

Mailing Location

PO Box 4439, Houston, TX 77210-4439

(713) 792-2991

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R8980 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License D70874 Maryland
Code 207RC0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License D0070874 Maryland
Code 207RP1001X	Description Internal Medicine Allopathic & Osteopathic Physicians	License D0070874 Maryland

Provider Identifiers

ID	Description	Issuer
ID 407061702	Description Other	Issuer MEDICAID-CSHCN Texas
ID 8MC401	Description Other	Issuer BCBS Texas
ID 034370600	Description Medicaid	Issuer Unlisted Maryland
ID 407061701	Description Medicaid	Issuer Unlisted Texas

Bruce Fernando Sabath

PECOS Enrollment

Profile Details

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