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Individual

SARA C MICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6100 WESTERN PL STE 800, FT WORTH, TX 76107-4679
(877) 868-4827
Mailing address
6100 WESTERN PL STE 800, FT WORTH, TX 76107-4679
(877) 868-4827

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP118899
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200353600A
KS
05
318680102
TX
Enumeration date
09/26/2005
Last updated
10/16/2017
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