Individual
SAHAR HEYDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 450-1143
Mailing address
315 N SAN SABA, SAN ANTONIO, TX 78207-3154
(210) 704-2011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA12628
TX
363AM0700X
Medical Physician Assistant
Primary
PA12628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398448603
—
TX
01
—
398448604
CSHCN
TX
Enumeration date
01/02/2019
Last updated
07/03/2025
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