Provider Demographics
NPI:1790016897
Name:FERNANDO SARTI MD PA
Entity Type:Organization
Organization Name:FERNANDO SARTI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALLENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-427-6525
Mailing Address - Street 1:4301 GARTH RD STE 301
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3158
Mailing Address - Country:US
Mailing Address - Phone:281-427-6525
Mailing Address - Fax:281-420-1272
Practice Address - Street 1:4301 GARTH RD STE 301
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3158
Practice Address - Country:US
Practice Address - Phone:281-427-6525
Practice Address - Fax:281-420-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3605207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115969102Medicaid
TX00T093Medicare PIN
TX115969102Medicaid
TX0A5802Medicare PIN