Healthcare Provider Details

I. General information

NPI: 1689816894
Provider Name (Legal Business Name): VPA OF TEXAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 03/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SHOAL CREEK BLVD STE 120W
AUSTIN TX
78757-1098
US

IV. Provider business mailing address

PO BOX 1500
NOVI MI
48376-1500
US

V. Phone/Fax

Practice location:
  • Phone: 512-407-8880
  • Fax: 512-407-8681
Mailing address:
  • Phone: 248-324-0700
  • Fax: 248-324-1477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. WILLIAM F SASSER JR.
Title or Position: OWNER
Credential: MD
Phone: 248-824-6600