Healthcare Provider Details

I. General information

NPI: 1629481957
Provider Name (Legal Business Name): SARA MATANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6844 HARRIS PARKWAY
FT. WORTH TX
76132-7613
US

IV. Provider business mailing address

6844 HARRIS PKWY STE 300
FT WORTH TX
76132-4281
US

V. Phone/Fax

Practice location:
  • Phone: 817-263-0007
  • Fax: 817-263-1118
Mailing address:
  • Phone: 817-263-0007
  • Fax: 817-263-1118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberT9577
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: