Organization
S.A.K. PROFESSIONALS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA AMY PENNIE LSA (AUTHORIZED OFFICIAL)
(832) 656-0597
Entity
Organization
Contact information
Practice address
4622 LA PAZ ST, PASADENA, TX 77504-2552
(832) 656-0597
Mailing address
PO BOX 19368, SUGAR LAND, TX 77496-9368
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00379
TX
Other
Enumeration date
07/11/2011
Last updated
09/08/2017
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