Healthcare Provider Details

I. General information

NPI: 1811470792
Provider Name (Legal Business Name): SARAH FERRARA GAWLIK NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 01/21/2020
Certification Date: 01/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 FRANCISCAN DR
BRYAN TX
77802-2544
US

IV. Provider business mailing address

221 SIMI DR
COLLEGE STATION TX
77845-2424
US

V. Phone/Fax

Practice location:
  • Phone: 979-776-2568
  • Fax:
Mailing address:
  • Phone: 979-255-5664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number856475
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP140277
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: