Provider Demographics
NPI:1689256265
Name:BRAY, SARA MEAGAN (NP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MEAGAN
Last Name:BRAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:MEAGAN
Other - Middle Name:BRAY
Other - Last Name:KASMAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:7600 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1906
Mailing Address - Country:US
Mailing Address - Phone:713-790-1234
Mailing Address - Fax:
Practice Address - Street 1:7600 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1906
Practice Address - Country:US
Practice Address - Phone:713-790-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS919007363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily