Provider Demographics
NPI:1225473879
Name:AACHIEVEMENT MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:AACHIEVEMENT MEDICAL ASSOCIATES
Other - Org Name:HOPE FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMIEN
Authorized Official - Middle Name:BOROUGH
Authorized Official - Last Name:SANDERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-447-5570
Mailing Address - Street 1:8240 ANTOINE DR STE 107
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-2522
Mailing Address - Country:US
Mailing Address - Phone:281-447-5570
Mailing Address - Fax:281-447-5598
Practice Address - Street 1:8240 ANTOINE DR STE 107
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2522
Practice Address - Country:US
Practice Address - Phone:281-447-5570
Practice Address - Fax:281-447-5598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6617363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH88838Medicare UPIN