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Individual

DR. SARA NICOLE HOUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
5012 S US HIGHWAY 75 STE 300, ATTN BILLING, DENISON, TX 75020-4589
(903) 416-3790
(903) 712-3790

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01071158A
IN
208000000X
Pediatrics Physician
Primary
12673
ND
208000000X
Pediatrics Physician
44987
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18250
ND
Enumeration date
03/25/2009
Last updated
10/13/2020
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