Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | P7978 | TX |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | P7978 | TX |
NPI | 1861741191 |
---|---|
Provider Name | Dr. Brandon Sass |
First Address | Sugar Land, TX 77479-2651 |
Second Address | Sugar Land, TX 77479-2651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2012 |
Last Update Date | 23/04/2018 |