Healthcare Provider Details
I. General information
NPI: 1326331000
Provider Name (Legal Business Name): SARI HOCHBERGER BAR D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/27/2011
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1935 MEDICAL DISTRICT DR BLDG SUITE
DALLAS TX
75235-7701
US
IV. Provider business mailing address
PO BOX 845347
DALLAS TX
75284-5347
US
V. Phone/Fax
- Phone: 214-456-6500
- Fax: 214-456-5702
- Phone: 214-648-5079
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | R2813 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0006X |
| Taxonomy | Developmental - Behavioral Pediatrics Physician |
| License Number | R2813 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: