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NPI Code Detail

MEDICARE: SARA WESTGATE MD PA

MEDICARE: SARA WESTGATE MD PA
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
12084N0400XNeurology PhysicianK6738TX

General Provider Information

NPI Number : 1558691956
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARA WESTGATE MD PA
Provider Business Mailing Address
First Line : 5900 SOUTHWEST PKWY
Second Line : BUILDING 4, SUITE 401
City : AUSTIN
State : TX
Zip : 78735-6202
Country : US
Telephone Number : 512-458-6656
Fax Number :
Provider Business Practice Location Address
First Line : 5900 SOUTHWEST PKWY
Second Line : BUILDING 4, SUITE 401
City : AUSTIN
State : TX
Zip : 78735-6202
Country : US
Telephone Number : 512-458-6656
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. SARA WESTGATE
Credential : M.D., PH.D.
Telephone Number : 512-458-6656
Provider Enumeration Date : 01/06/2010
Last Update Date : 01/06/2010

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Directions to “SARA WESTGATE MD PA ” Practice Location

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