Individual
WALTER RANDALL SASSARD
Active
Individual
WALTER RANDALL SASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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