Provider Demographics
NPI:1467461194
Name:CANALES, SARAH CRISTINA (CNS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CRISTINA
Last Name:CANALES
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 GREENWAY DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2416
Mailing Address - Country:US
Mailing Address - Phone:972-550-9195
Mailing Address - Fax:972-550-0079
Practice Address - Street 1:614 S EDMONDS LN
Practice Address - Street 2:SUITE 101
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3511
Practice Address - Country:US
Practice Address - Phone:972-434-7554
Practice Address - Fax:972-434-7585
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX681738364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health