Healthcare Provider Details

I. General information

NPI: 1316308604
Provider Name (Legal Business Name): SARAH LESTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2016
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEMORIAL DR
LULING TX
78648-3213
US

IV. Provider business mailing address

721 CREEKSIDE CIR
NEW BRAUNFELS TX
78130-6448
US

V. Phone/Fax

Practice location:
  • Phone: 702-453-3799
  • Fax: 702-453-5741
Mailing address:
  • Phone: 702-453-3799
  • Fax: 702-453-5741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberQ2325
License Number StateTX

VIII. Authorized Official

Name: SARAH E LESTER
Title or Position: SOLE OWNER
Credential: M.D.
Phone: 713-299-3190