Provider Demographics
NPI:1326097866
Name:SACHS, BARRY (DO)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:SACHS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 HICKORY SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1810
Mailing Address - Country:US
Mailing Address - Phone:832-453-3984
Mailing Address - Fax:281-360-5516
Practice Address - Street 1:5831 HICKORY SPRINGS DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-1810
Practice Address - Country:US
Practice Address - Phone:832-453-3984
Practice Address - Fax:281-360-5516
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1180208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136843310Medicaid
E78336Medicare UPIN
TX8654K9Medicare ID - Type Unspecified