Individual
SARAH N HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6565 FANNIN ST, B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST # B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
680271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184610701
—
TX
05
—
184610702
—
TX
01
—
8Y0335
BLUE CROSS BLUE SHIELD
TX
01
—
P00333442
RAILROAD MEDICARE
TX
01
—
P01086532
RR MEDICARE
TX
01
—
P01333576
RR MEDICARE
TX
Enumeration date
07/13/2006
Last updated
11/05/2014
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