Provider Demographics
NPI:1235211590
Name:GARZA, SARA Y (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:Y
Last Name:GARZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:R
Other - Last Name:YOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:1601 KELLER PKWY
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3703
Practice Address - Country:US
Practice Address - Phone:817-431-1450
Practice Address - Fax:817-431-0424
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2216208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0537275OtherCIGNA PIN
TX140442855Medicaid
TX174619001Medicaid
1750369203OtherGRP NPI NUMBER
TX5641079OtherFIRSTHEALTH PIN
TXYOKSI35311OtherCCHIP PIN
TX00U87ZOtherBCBSTX GRP PIN
TX2564429OtherUHC PIN
TX7138742OtherAETNA PIN
TX8C0242OtherBCBSTX IND PIN
TX9395207OtherPHCS PIN
TX140442852Medicaid
TX8C0242OtherBCBSTX IND PIN
TX5641079OtherFIRSTHEALTH PIN
I35311Medicare UPIN