Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 3086 | TX |
Y | 222Z00000X | Podiatrist | 3086 | TX |
N | 213ES0103X | Foot & Ankle Surgery | 3086 | TX |
NPI | 1033606645 |
---|---|
Provider Name | Sarah Thomas Sykes |
First Address | Shenandoah, TX 77380-3250 |
Second Address | Shenandoah, TX 77380-3250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2018 |
Last Update Date | 23/09/2021 |