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Individual

DR. STEVEN MICHEAL SACKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3480 FANNIN ST STE I, BEAUMONT, TX 77701-3804
(409) 833-5288
(409) 833-4772
Mailing address
PO BOX 27380, HOUSTON, TX 77227-7380
(409) 833-5288
(409) 833-4772

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
J0658
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J0658
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098488201
TX
Enumeration date
02/17/2006
Last updated
08/19/2009
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