Provider Demographics
NPI:1891165221
Name:STAPLETON, SARAI (LAC, MS-HNFM)
Entity Type:Individual
Prefix:
First Name:SARAI
Middle Name:
Last Name:STAPLETON
Suffix:
Gender:F
Credentials:LAC, MS-HNFM
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:STAPLETON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, MS-HNFM
Mailing Address - Street 1:8003 RED ROCK CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3305
Mailing Address - Country:US
Mailing Address - Phone:512-410-2555
Mailing Address - Fax:
Practice Address - Street 1:2525 WALLINGWOOD DR STE 1502
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6900
Practice Address - Country:US
Practice Address - Phone:512-410-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC000791171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist