1376880807 NPI number — SARAH BERNICE FRANCO PA-C

Table of content: SARAH BERNICE FRANCO PA-C (NPI 1376880807)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376880807 NPI number — SARAH BERNICE FRANCO PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANCO
Provider First Name:
SARAH
Provider Middle Name:
BERNICE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WAY
Provider Other First Name:
SARAH
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376880807
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7703 FLOYD CURL, DEPT OF PSYCHIATRY, MC 7792
Provider Second Line Business Mailing Address:
UT HEALTH SCIENCE CENTER AT SAN ANTONIO
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78229
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-567-5092
Provider Business Mailing Address Fax Number:
210-567-5690

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7526 LOUIS PASTEUR DRIVE
Provider Second Line Business Practice Location Address:
UNIVERSITY PLAZA
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-4022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-567-5092
Provider Business Practice Location Address Fax Number:
210-567-5690
Provider Enumeration Date:
01/03/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA08139 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 313156701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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