Provider Demographics
NPI:1609508902
Name:SANDERS, SARAH SINCLAIR
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SINCLAIR
Last Name:SANDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 GOLDEN TRIANGLE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-4411
Mailing Address - Country:US
Mailing Address - Phone:940-230-2580
Mailing Address - Fax:940-900-0575
Practice Address - Street 1:1705 S FM 51 STE 107
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3646
Practice Address - Country:US
Practice Address - Phone:940-230-2580
Practice Address - Fax:940-900-0575
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant