Individual
MS. STACEY HELEN SANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6445 MAIN ST, STE 2500, HOUSTON, TX 77030
(713) 441-3740
(713) 790-2058
Mailing address
2527 CALUMET ST, HOUSTON, TX 77004
(214) 773-0169
(713) 436-3860
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA08358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0198904
TEXAS DEPT OF PUBLIC SAFETY
TX
01
—
PA08358
TEXAS LICENSE
TX
Enumeration date
02/16/2012
Last updated
11/17/2025
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