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Organization

SARAH STREET, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TROY MARSAW (PRES/CEO)
(713) 942-8100
Entity
Organization

Contact information

Practice address
3455 SARAH ST, BEAUMONT, TX 77705-2906
(713) 942-8100
(713) 533-1408
Mailing address
3007 CAROLINE ST, HOUSTON, TX 77004-2822
(713) 942-8100
(713) 533-1408

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
Primary
104100000X
Social Worker
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QM2500X
Medical Specialty Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
02/03/2021
Last updated
04/27/2021
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