Provider Demographics
NPI:1548835143
Name:SACHSE PEDIATRICS PLLC
Entity type:Organization
Organization Name:SACHSE PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPNP (OWNER)
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP
Authorized Official - Phone:214-803-2404
Mailing Address - Street 1:4650 PRESIDENT GEORGE BUSH TPKE STE 108
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-4980
Mailing Address - Country:US
Mailing Address - Phone:469-715-3489
Mailing Address - Fax:469-715-3490
Practice Address - Street 1:4650 PRESIDENT GEORGE BUSH TPKE STE 108
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-4980
Practice Address - Country:US
Practice Address - Phone:469-715-3489
Practice Address - Fax:469-715-3490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty