Healthcare Provider Details

I. General information

NPI: 1750601282
Provider Name (Legal Business Name): SARAH NGO MPAS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 04/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16929 SW FREEWAY SUITE 100
HOUSTON TX
77401-1331
US

IV. Provider business mailing address

16929 SOUTHWEST FWY SUITE 100
SUGAR LAND TX
77479
US

V. Phone/Fax

Practice location:
  • Phone: 713-774-6337
  • Fax: 281-313-7747
Mailing address:
  • Phone: 713-774-6337
  • Fax: 281-313-7747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA06713
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: