MEDICARE: VPA OF TEXAS PLLC

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	207R00000X	Internal Medicine Physician		TX
2	207Q00000X	Family Medicine Physician		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	0002MU	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1659398485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPA OF TEXAS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1239
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48099-1239
Country	:	US
Telephone Number	:	248-824-6622
Fax Number	:	248-324-1477

Provider Business Practice Location Address
First Line	:	340 N SAM HOUSTON PKWY E
Second Line	:	STE 103
City	:	HOUSTON
State	:	TX
Zip	:	77060-3305
Country	:	US
Telephone Number	:	281-820-0200
Fax Number	:	281-820-2502

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM F SASSER JR.
Credential	:	MD
Telephone Number	:	248-824-6000

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	03/15/2018

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Directions to “VPA OF TEXAS PLLC ” Practice Location

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