Provider Demographics
NPI:1699055665
Name:JOHN A SAZY MD PA
Entity type:Organization
Organization Name:JOHN A SAZY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAZY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-468-4422
Mailing Address - Street 1:908 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3904
Mailing Address - Country:US
Mailing Address - Phone:817-468-4422
Mailing Address - Fax:817-468-7676
Practice Address - Street 1:908 9TH AVE
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3904
Practice Address - Country:US
Practice Address - Phone:817-468-4422
Practice Address - Fax:817-468-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5204207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty