Provider Demographics
NPI:1164804985
Name:STUDER, SARAH E (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:STUDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 HUTCHINS AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BALLINGER
Mailing Address - State:TX
Mailing Address - Zip Code:76821-4452
Mailing Address - Country:US
Mailing Address - Phone:325-365-5737
Mailing Address - Fax:325-365-2405
Practice Address - Street 1:2001 HUTCHINS AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BALLINGER
Practice Address - State:TX
Practice Address - Zip Code:76821-4452
Practice Address - Country:US
Practice Address - Phone:325-365-5737
Practice Address - Fax:325-365-2405
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-29
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09781363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA09781OtherMEDICAL LICENSE
TX587904OtherSTATE OF TEXAS