Provider Demographics
NPI:1841597291
Name:ATCHLEY, SARAH CATHERINE (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:ATCHLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 TEXAS AVE S STE 202
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5388
Mailing Address - Country:US
Mailing Address - Phone:979-695-3570
Mailing Address - Fax:979-695-3573
Practice Address - Street 1:2911 TEXAS AVE S STE 202
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5388
Practice Address - Country:US
Practice Address - Phone:979-695-3570
Practice Address - Fax:979-695-3573
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA07198363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical