MEDICARE: SARA FOLDEN, MD, PA

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	261QP2300X	Primary Care Clinic/Center	L1220	TX

General Provider Information

NPI Number	:	1760631113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARA FOLDEN, MD, PA

Provider Business Mailing Address
First Line	:	PO BOX 5660
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-0219
Country	:	US
Telephone Number	:	972-712-9111
Fax Number	:	972-712-9112

Provider Business Practice Location Address
First Line	:	9191 KYSER WAY
Second Line	:	SUITE 205
City	:	FRISCO
State	:	TX
Zip	:	75034-1953
Country	:	US
Telephone Number	:	972-712-9111
Fax Number	:	972-712-9112

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SARA FOLDEN
Credential	:	MD
Telephone Number	:	972-712-9111

Provider Enumeration Date	:	09/10/2008
Last Update Date	:	09/10/2008

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