Healthcare Provider Details

I. General information

NPI: 1316492309
Provider Name (Legal Business Name): SARA RECHIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1917 LOHMANS CROSSING RD
AUSTIN TX
78734-5269
US

IV. Provider business mailing address

7000 N MO PAC EXPY STE 420
AUSTIN TX
78731-3055
US

V. Phone/Fax

Practice location:
  • Phone: 512-261-3211
  • Fax:
Mailing address:
  • Phone: 512-482-0045
  • Fax: 512-476-9892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberAP131746
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP131746
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: