Healthcare Provider Details
I. General information
NPI: 1942645759
Provider Name (Legal Business Name): VANESSA MS SARFOH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/07/2013
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27700 NORTHWEST FWY STE 600
CYPRESS TX
77433-7218
US
IV. Provider business mailing address
PO BOX 844658
DALLAS TX
75284-4658
US
V. Phone/Fax
- Phone: 346-231-6750
- Fax:
- Phone: 254-724-2111
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD460286 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 04-51124 |
| License Number State | KS |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | S3580 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: