Provider Demographics
NPI:1013367770
Name:KIDD, SARAH (PA)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:KIDD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 N TEXAS AVE
Mailing Address - Street 2:STE 3200
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4962
Mailing Address - Country:US
Mailing Address - Phone:832-899-5005
Mailing Address - Fax:
Practice Address - Street 1:333 N TEXAS AVE STE 3200
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4962
Practice Address - Country:US
Practice Address - Phone:281-922-5099
Practice Address - Fax:281-922-5490
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11361363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant