Healthcare Provider Details

I. General information

NPI: 1154066645
Provider Name (Legal Business Name): SEAN THOMAS HEALY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27700 NORTHWEST FWY STE 200
CYPRESS TX
77433-6767
US

IV. Provider business mailing address

27700 NORTHWEST FWY STE 200
CYPRESS TX
77433-6767
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-5750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberV9012
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: