Organization
STEVEN M SACKS MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHEAL SACKS MD (OWNER/PHYSICIAN)
(409) 833-5288
Entity
Organization
Contact information
Practice address
3480 FANNIN ST, STE, I, BEAUMONT, TX 77701-3814
(409) 833-5288
Mailing address
PO BOX 27380, HOUSTON, TX 77227-7380
(409) 833-5288
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J0658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J0658
STATE LICENSE
TX
Enumeration date
01/19/2009
Last updated
01/19/2009
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