Provider Demographics
NPI:1548649528
Name:FRISCHHERTZ, SARAH SMART GAY (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SMART GAY
Last Name:FRISCHHERTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:SMART
Other - Last Name:GAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 678896
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8896
Mailing Address - Country:US
Mailing Address - Phone:877-406-2916
Mailing Address - Fax:601-982-7909
Practice Address - Street 1:7520 PERKINS RD STE 290
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-9130
Practice Address - Country:US
Practice Address - Phone:225-769-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-24
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS285632085R0204X
390200000X
LA3268262085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program