Provider Demographics
NPI:1508144825
Name:ALLEN, SARA (MSN, RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MSN, RN, FNP-C
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:PHET
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:PO BOX 847556
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7556
Mailing Address - Country:US
Mailing Address - Phone:254-724-2020
Mailing Address - Fax:
Practice Address - Street 1:THE SCOTT & WHITE EYE INSTITUTE CTR
Practice Address - Street 2:2401 S 31ST STREET
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508-0001
Practice Address - Country:US
Practice Address - Phone:254-724-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX716183363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily