Provider Demographics
NPI:1891832689
Name:DOWNEY, SARA A (DC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:A
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 530838
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75053-0838
Mailing Address - Country:US
Mailing Address - Phone:214-991-9466
Mailing Address - Fax:
Practice Address - Street 1:638 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5529
Practice Address - Country:US
Practice Address - Phone:972-642-1919
Practice Address - Fax:972-642-1617
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6989111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX607162OtherBC - BS TEXAS
TX655606OtherACN GROUP
TX00155896Medicaid
TX609742Medicare PIN