Provider Demographics
NPI:1689789679
Name:SARDA, FELIPE ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:ANTONIO
Last Name:SARDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3101
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77631-3101
Mailing Address - Country:US
Mailing Address - Phone:409-886-4242
Mailing Address - Fax:409-886-2559
Practice Address - Street 1:909 12TH ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-4906
Practice Address - Country:US
Practice Address - Phone:409-886-4242
Practice Address - Fax:409-886-2559
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1731261QP2300X
FLME45696261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20118892OtherDEPARTMENT OF SAFETY
TXL1731OtherMEDICAL LICENSE
TXL1731OtherMEDICAL LICENSE
TXD21531Medicare UPIN