Individual
WALTER RANDALL SASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E3103
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
E3103
TX
208100000X
Physical Medicine & Rehabilitation Physician
E3103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320137-06
—
TX
05
—
132013707
—
TX
05
—
132013710
—
TX
01
—
1571290
CIGNA
TX
01
—
200021957
MEDICARE RAILROAD
TX
01
—
4300016
AETNA US HEALTHCARE
TX
01
—
741660214
WORKERS' COMP NY
NY
01
—
741660214
HEALTH NEW ENGLAND
TX
01
—
741660214-00
OHIO BWC
OH
01
—
843089
BCBS OF TEXAS
TX
05
—
8431NW
—
TX
01
—
8FE522
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/03/2006
Last updated
08/28/2023
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