Provider Demographics
NPI:1043808264
Name:SADLER, JOHN D (CLINICAL CHEMIST)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:SADLER
Suffix:
Gender:M
Credentials:CLINICAL CHEMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 TIDEWATER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4338
Mailing Address - Country:US
Mailing Address - Phone:713-517-1875
Mailing Address - Fax:
Practice Address - Street 1:4106 TIDEWATER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4338
Practice Address - Country:US
Practice Address - Phone:713-517-1875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2154841207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty