Healthcare Provider Details

I. General information

NPI: 1275974396
Provider Name (Legal Business Name): SARA SAGHAR DOWRAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 MELROSE DR SUITE 220
RICHARDSON TX
75080-4405
US

IV. Provider business mailing address

331 MELROSE DR SUITE 220
RICHARDSON TX
75080-4405
US

V. Phone/Fax

Practice location:
  • Phone: 469-828-1903
  • Fax: 469-374-3851
Mailing address:
  • Phone: 469-828-1903
  • Fax: 469-374-3851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number721802
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: