Healthcare Provider Details

I. General information

NPI: 1477417392
Provider Name (Legal Business Name): SANGER FAMILY MEDICAL CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SABLE AVE
SANGER TX
76266
US

IV. Provider business mailing address

493 N RADIO HILL RD
GAINESVILLE TX
76240-7635
US

V. Phone/Fax

Practice location:
  • Phone: 940-634-7731
  • Fax:
Mailing address:
  • Phone: 940-634-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RICK HARRISON
Title or Position: CREDENTIALING MANAGER
Credential: CREDENTIALING
Phone: 732-743-5910