Provider Demographics
NPI:1487684221
Name:THOMAS A. SAINZ D.O., P.C
Entity Type:Organization
Organization Name:THOMAS A. SAINZ D.O., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAINZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-645-0000
Mailing Address - Street 1:133 E LANSING RD
Mailing Address - Street 2:
Mailing Address - City:POTTERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48876
Mailing Address - Country:US
Mailing Address - Phone:517-645-0000
Mailing Address - Fax:517-645-4559
Practice Address - Street 1:133 E LANSING RD
Practice Address - Street 2:
Practice Address - City:POTTERVILLE
Practice Address - State:MI
Practice Address - Zip Code:48876
Practice Address - Country:US
Practice Address - Phone:517-645-0000
Practice Address - Fax:517-645-4559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MITS012157207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF84501Medicare UPIN