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NPI Code Detail

MEDICARE: SARA L WYRICK MD

MEDICARE:   SARA L WYRICK  MD
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
1208000000XPediatrics Physician25660OK
22080P0204XPediatric Emergency Medicine (Pediatrics) PhysicianP6938TX
3207P00000XEmergency Medicine PhysicianP6938TX

General Provider Information

NPI Number : 1437355542
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA L WYRICK MD
Provider Business Mailing Address
First Line : 8308 ELANDER DR
Second Line :
City : AUSTIN
State : TX
Zip : 78750-7842
Country : US
Telephone Number : 512-324-0150
Fax Number :
Provider Business Practice Location Address
First Line : 4900 MUELLER BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3079
Country : US
Telephone Number : 512-324-0150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 12/27/2024

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Directions to “ SARA L WYRICK MD” Practice Location

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