MEDICARE: SARA KATE CAPEL PA-C

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
1	363A00000X	Physician Assistant	PA19109	TX

General Provider Information

NPI Number	:	1720975584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA KATE CAPEL PA-C

Provider Business Mailing Address
First Line	:	1320 S UNIVERSITY DR STE 500
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5732
Country	:	US
Telephone Number	:	817-321-0404
Fax Number	:

Provider Business Practice Location Address
First Line	:	3706 WASHBURN AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-4026
Country	:	US
Telephone Number	:	678-641-6647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	01/20/2026

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Directions to “ SARA KATE CAPEL PA-C” Practice Location

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