Provider Demographics
NPI:1578878245
Name:SAS HEALTHCARE, INC
Entity Type:Organization
Organization Name:SAS HEALTHCARE, INC
Other - Org Name:SUNDANCE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PUSKOOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-222-9191
Mailing Address - Street 1:7000 HWY 287
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001
Mailing Address - Country:US
Mailing Address - Phone:817-583-8080
Mailing Address - Fax:817-483-1572
Practice Address - Street 1:7000 HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-2805
Practice Address - Country:US
Practice Address - Phone:817-583-8080
Practice Address - Fax:817-493-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
283Q00000X
TX283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX454113Medicare PIN