Provider Demographics
NPI:1982261244
Name:SASON MEDICAL PRODUCTS, LLC
Entity Type:Organization
Organization Name:SASON MEDICAL PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRIJCUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-665-3481
Mailing Address - Street 1:814 EAST AVE STE A2
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4160
Mailing Address - Country:US
Mailing Address - Phone:281-665-3481
Mailing Address - Fax:844-744-5405
Practice Address - Street 1:814 EAST AVE STE A2
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2046
Practice Address - Country:US
Practice Address - Phone:281-665-3481
Practice Address - Fax:844-744-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies