Provider Demographics
NPI:1043222722
Name:SAZY, JOHN ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ANTHONY
Last Name:SAZY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 OMEGA DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2041
Mailing Address - Country:US
Mailing Address - Phone:817-468-4422
Mailing Address - Fax:
Practice Address - Street 1:431 OMEGA DR
Practice Address - Street 2:SUITE 104
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2041
Practice Address - Country:US
Practice Address - Phone:817-468-4422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5204207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1143638-03Medicaid
TX180544100DOLOtherDEPT.OF LABOR PROV ID
TX180544100DOLOtherDEPT.OF LABOR PROV ID
TXEO7188Medicare UPIN