Individual
SARA WEEKLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9501 N CAPITAL OF TEXAS HWY STE 105, AUSTIN, TX 78759-7254
(510) 922-9757
Mailing address
9501 N CAPITAL OF TEXAS HWY STE 105, AUSTIN, TX 78759-7254
(510) 922-9757
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A113636
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
T1879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A113636
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
03/12/2010
Last updated
12/11/2022
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