Provider Demographics
NPI:1053819409
Name:LECLEAR, SARA (FNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:LECLEAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N CARTWRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-7111
Mailing Address - Country:US
Mailing Address - Phone:903-482-9153
Mailing Address - Fax:
Practice Address - Street 1:250 N COLLIN MCKINNEY PARKWAY
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-7111
Practice Address - Country:US
Practice Address - Phone:903-482-9153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily