Individual
ALEXANDER HANSEN SACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-0260
Mailing address
3707 MONARCH GROVE LN, KATY, TX 77494-3954
(713) 594-9850
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
076818
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP115735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188980002
—
TX
05
—
188980003
—
TX
01
—
8843UA
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/04/2007
Last updated
10/19/2022
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