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NPI Code Detail

MEDICARE: SARAH MICHAEL M.D.

MEDICARE: SARAH MICHAEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician290078NY
22084P0800XPsychiatry PhysicianT2440TX
32084P0804XChild & Adolescent Psychiatry PhysicianT2440TX

General Provider Information

NPI Number : 1205283868
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MICHAEL M.D.
Provider Business Mailing Address
First Line : 5130 GATEWAY BLVD E # 51015
Second Line :
City : EL PASO
State : TX
Zip : 79905-1608
Country : US
Telephone Number : 915-215-4480
Fax Number : 915-215-5386
Provider Business Practice Location Address
First Line : 800 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3976
Country : US
Telephone Number : 915-215-6170
Fax Number : 915-215-8659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2016
Last Update Date : 11/08/2023

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