Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | E3103 | TX |
N | 207XS0117X | Orthopaedic Spine Surgeon | E3103 | TX |
NPI | 1053359752 |
---|---|
Provider Name | Walter Randall Sassard |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 30/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1320137-06 | (05) | TX |
132013707 | (05) | TX |
132013710 | (05) | TX |
1571290 | CIGNA (01) | TX |
200021957 | MEDICARE RAILROAD (01) | TX |
4300016 | AETNA US HEALTHCARE (01) | TX |
436155ZSWD | (02) | TX |
741660214 | HEALTH NEW ENGLAND (01) | TX |
741660214 | WORKERS' COMP NY (01) | NY |
741660214-00 | OHIO BWC (01) | OH |
843089 | BCBS OF TEXAS (01) | TX |
8431NW | (05) | TX |
8FE522 | BLUE CROSS BLUE SHIELD (01) | TX |
B26190 | (02) | TX |