Provider Demographics
NPI:1720399736
Name:FROMMER, SARAH ANNE (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANNE
Last Name:FROMMER
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
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Mailing Address - Street 1:2900 MANOR RD APT 2336
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2164
Mailing Address - Country:US
Mailing Address - Phone:651-343-5882
Mailing Address - Fax:512-377-1143
Practice Address - Street 1:8611 N MOPAC EXPY STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8319
Practice Address - Country:US
Practice Address - Phone:737-220-8200
Practice Address - Fax:737-220-8180
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RILP02076208200000X, 208600000X
TXR3844208200000X, 2082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1730604992OtherNPI