Provider Demographics
NPI:1013743491
Name:SASSMAN, CHAD HOWARD (RN)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:HOWARD
Last Name:SASSMAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 NEWNING
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2769
Mailing Address - Country:US
Mailing Address - Phone:210-240-3588
Mailing Address - Fax:
Practice Address - Street 1:4522 FREDERICKSBURG RD STE A100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-6549
Practice Address - Country:US
Practice Address - Phone:210-732-1802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX646999163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse