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NPI Code Detail

MEDICARE: SARA KATE CAPEL PA-C

MEDICARE: SARA KATE CAPEL PA-C
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
1363A00000XPhysician AssistantPA19109TX

General Provider Information

NPI Number : 1720975584
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA KATE CAPEL PA-C
Provider Business Mailing Address
First Line : 3706 WASHBURN AVE APT D
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-4048
Country : US
Telephone Number : 678-641-6647
Fax Number :
Provider Business Practice Location Address
First Line : 3706 WASHBURN AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-4026
Country : US
Telephone Number : 678-641-6647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2025
Last Update Date : 06/23/2025

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Directions to “ SARA KATE CAPEL PA-C” Practice Location

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