Healthcare Provider Details

I. General information

NPI: 1386241552
Provider Name (Legal Business Name): SARAH J VARALLA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2020
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 950
HOUSTON TX
77030-5204
US

IV. Provider business mailing address

9727 SPRING GREEN BLVD STE 900
KATY TX
77494-4576
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-7427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number927465
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1098947
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number927465
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: