Healthcare Provider Details

I. General information

NPI: 1023905544
Provider Name (Legal Business Name): SARAH E STARR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3564 N FOURTH ST STE B
LONGVIEW TX
75605-0039
US

IV. Provider business mailing address

3564 N FOURTH ST STE B
LONGVIEW TX
75605-0039
US

V. Phone/Fax

Practice location:
  • Phone: 903-231-3144
  • Fax: 903-231-3230
Mailing address:
  • Phone: 903-231-3144
  • Fax: 903-231-3230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1007332
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1007332
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: