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Individual

MRS. SYLVIA AMY PENNIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSA

Contact information

Practice address
1 SUGAR CREEK BLVD, STE 618, SUGAR LAND, TX 77478
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD, STE 618, SUGAR LAND, TX 77478-3560
(832) 655-4141
(713) 457-5188

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00379
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8RE918
UNIVERSAL SURGICAL ASSISTANTS
TX
01
8RF039
BLUE STAR SURGICAL ASSISTANTS
TX
01
8RF042
UNIVERSAL SURGICAL PARTNERS
TX
01
8RF043
XCITE SURGICAL
TX
01
8RF181
US MSO
TX
Enumeration date
06/25/2008
Last updated
06/07/2023
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