Individual
SARAH NICHOLE NORTHCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12517 NICHOLAS PL, RHOME, TX 76078-6064
(817) 602-8918
Mailing address
12517 NICHOLAS PL, RHOME, TX 76078-6064
(817) 602-8918
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
172339
TX
247100000X
Radiologic Technologist
Primary
376962
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172339
NBSTSA
TX
01
—
376962
ARRT
ID
Enumeration date
07/30/2018
Last updated
07/30/2018
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