Provider Demographics
NPI:1144273103
Name:SUBORA, ADRIEN SOWLE (PA-C)
Entity type:Individual
Prefix:MR
First Name:ADRIEN
Middle Name:SOWLE
Last Name:SUBORA
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:MD ANDERSON CANCER CENTER - DEPARTMENT OF LEUKEMIA
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4000
Mailing Address - Country:US
Mailing Address - Phone:713-792-6161
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:MD ANDERSON CANCER CENTER - DEPARTMENT OF LEUKEMIA
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2008-05-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical