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NPI Code Detail

MEDICARE: SARA LECLEAR FNP

MEDICARE:   SARA  LECLEAR  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP136335TX

General Provider Information

NPI Number : 1053819409
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA LECLEAR FNP
Provider Business Mailing Address
First Line : 350 N CARTWRIGHT RD
Second Line :
City : VAN ALSTYNE
State : TX
Zip : 75495-7111
Country : US
Telephone Number : 903-482-9153
Fax Number :
Provider Business Practice Location Address
First Line : 250 N COLLIN MCKINNEY PARKWAY
Second Line :
City : VAN ALSTYNE
State : TX
Zip : 75495-7111
Country : US
Telephone Number : 903-482-9153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 11/21/2022

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Directions to “ SARA LECLEAR FNP” Practice Location

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