Provider Demographics
NPI:1861672149
Name:IRVIN J. SARON, M.D., PA
Entity Type:Organization
Organization Name:IRVIN J. SARON, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SARON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-890-0911
Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:440
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1439
Mailing Address - Country:US
Mailing Address - Phone:281-890-0911
Mailing Address - Fax:281-890-0980
Practice Address - Street 1:10425 HUFFMEISTER RD STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3429
Practice Address - Country:US
Practice Address - Phone:281-890-0911
Practice Address - Fax:281-890-0980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5366174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4273592OtherAETNA
TX00322XMedicare PIN
TXB41541Medicare UPIN