Sasiene, Jack Allan

Sasiene, Jack Allan is an individual health care provider with primary practice located at 3200 Palmer Hwy , Texas City TX 77590-6724. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Sasiene, Jack Allan can be contacted via phone (409) 948-4848.

Contact Information

Primary practice address
3200 Palmer Hwy Texas City TX 77590-6724
Phone: (409) 948-4848
Fax: (409) 948-6042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1200 Texas
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1200 Texas

Profile Details

NPI number 1801932280
LBN Legal business name Sasiene, Jack Allan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Oct 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801932280 NPPES
Texas Other 1041500001 DME PROVIDER
Texas MEDICAID 121549301 DME PROVIDER
Texas MEDICAID 121549303 DME PROVIDER

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