Provider Demographics
NPI:1295224699
Name:VINKLAREK, SARA DON (LVN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:DON
Last Name:VINKLAREK
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 BISHOP ST
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78957-1607
Mailing Address - Country:US
Mailing Address - Phone:512-237-0077
Mailing Address - Fax:
Practice Address - Street 1:302 BISHOP ST
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TX
Practice Address - Zip Code:78957-1607
Practice Address - Country:US
Practice Address - Phone:512-237-0077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328836-1164X00000X
TX310297164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse