Provider Demographics
NPI:1730604992
Name:SARAH A FROMMER MEDICAL PLLC
Entity type:Organization
Organization Name:SARAH A FROMMER MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FROMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD/PHD
Authorized Official - Phone:651-343-5882
Mailing Address - Street 1:2900 MANOR RD APT 2336
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2164
Mailing Address - Country:US
Mailing Address - Phone:651-343-5882
Mailing Address - Fax:
Practice Address - Street 1:11412 BEE CAVES RD STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-5515
Practice Address - Country:US
Practice Address - Phone:512-377-1142
Practice Address - Fax:512-377-1143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3844208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty