MEDICARE: SACCO BARKER JOINT VENTURES

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1699083543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SACCO BARKER JOINT VENTURES

Provider Business Mailing Address
First Line	:	1120 AVENUE G
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-3541
Country	:	US
Telephone Number	:	979-245-5721
Fax Number	:	979-245-1482

Provider Business Practice Location Address
First Line	:	3317 AVENUE F
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-7107
Country	:	US
Telephone Number	:	979-323-9677
Fax Number	:	979-323-9960

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. CHERYL F. SACCO
Credential	:	MD
Telephone Number	:	979-245-5721

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	02/16/2013

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