Individual
NAA SACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17201 I 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2631
Mailing address
8168 TRANQUIL LAKE WAY, CONROE, TX 77385-1124
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R2466
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2009
Last updated
03/17/2018
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