MEDICARE: DR. DON JOSE SARMIENTO DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	M5481	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8GD218	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1750359568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DON JOSE SARMIENTO DO

Provider Business Mailing Address
First Line	:	HOUSTON METHODIST PRIMARY CARE GROUP
Second Line	:	4015 INTERSTATE 45 NORTH, STE 100
City	:	CONROE
State	:	TX
Zip	:	77304-0000
Country	:	US
Telephone Number	:	936-270-4600
Fax Number	:	936-856-8429

Provider Business Practice Location Address
First Line	:	HOUSTON METHODIST PRIMARY CARE GROUP
Second Line	:	4015 INTERSTATE 45 NORTH, STE 100
City	:	CONROE
State	:	TX
Zip	:	77304-0000
Country	:	US
Telephone Number	:	936-270-4600
Fax Number	:	936-856-8429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	01/11/2017

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