Provider Demographics
NPI:1376880807
Name:FRANCO, SARAH BERNICE (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BERNICE
Last Name:FRANCO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:WAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL, DEPT OF PSYCHIATRY, MC 7792
Mailing Address - Street 2:UT HEALTH SCIENCE CENTER AT SAN ANTONIO
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-567-5092
Mailing Address - Fax:210-567-5690
Practice Address - Street 1:7526 LOUIS PASTEUR DRIVE
Practice Address - Street 2:UNIVERSITY PLAZA
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4022
Practice Address - Country:US
Practice Address - Phone:210-567-5092
Practice Address - Fax:210-567-5690
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08139363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX313156701Medicaid
TX270466YK00Medicare PIN