Healthcare Provider Details

I. General information

NPI: 1609301936
Provider Name (Legal Business Name): SARAH KAY CONRAD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAYLOR PLZ
HOUSTON TX
77030-3498
US

IV. Provider business mailing address

1250 E MARSHALL ST 980034
RICHMOND VA
23298-5051
US

V. Phone/Fax

Practice location:
  • Phone: 713-873-3537
  • Fax:
Mailing address:
  • Phone: 804-828-8614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberT0453
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberT0453
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: