Provider Demographics
NPI:1225643562
Name:SARNE, YERMIAHU LEVI (PA-C)
Entity Type:Individual
Prefix:
First Name:YERMIAHU
Middle Name:LEVI
Last Name:SARNE
Suffix:
Gender:M
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 1:6206 PRESTON CREST LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1828
Mailing Address - Country:US
Mailing Address - Phone:248-508-3436
Mailing Address - Fax:
Practice Address - Street 1:3435 ROY ORR BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-4229
Practice Address - Country:US
Practice Address - Phone:972-591-5931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant