Most Relevant Information
Provider Data
| NPI Number: | 1003650383 |
| Provider Name: | EMMANUEL SACKEY |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 40612 |
Most Important Dates
| Enumeration Date: | 06/21/2024 |
| Last Updated: | 07/03/2024 |
Provider Practice Location
1530 TEXAS AVE S STE 300
COLLEGE STATION
TX
778403390
Practice Location Phone/Fax
| Phone: | 9795995554 |
| Fax: |
Provider Mailing Location
3707 MONARCH GROVE LN
KATY
TX
774943954
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |