Individual
SARAH SAN YOUNG SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD-52396
IA
207P00000X
Emergency Medicine Physician
Primary
Q9033
TX
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
MD-52396
IA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Q9033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369371509
—
TX
01
—
369371510
MEDICAID-CSHCN
TX
01
—
8MA199
BCBS
TX
Enumeration date
05/15/2012
Last updated
10/02/2024
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