Provider Demographics
NPI:1003006420
Name:MUSACHIA, SARA M (RDCS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:MUSACHIA
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6925 PRENTISS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-2749
Mailing Address - Country:US
Mailing Address - Phone:832-439-8703
Mailing Address - Fax:
Practice Address - Street 1:6925 PRENTISS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-2749
Practice Address - Country:US
Practice Address - Phone:832-439-8703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology