Provider Demographics
NPI:1346587185
Name:CAMPBELL, SARAH PIERCE (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:PIERCE
Last Name:CAMPBELL
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 1:1615 WOODED ACRES DR STE 1
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2863
Mailing Address - Country:US
Mailing Address - Phone:254-229-6815
Mailing Address - Fax:
Practice Address - Street 1:1615 WOODED ACRES DR STE 1
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2863
Practice Address - Country:US
Practice Address - Phone:254-229-6815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08266363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant