Provider Demographics
NPI:1932491222
Name:RASBEARY, SANDRA K (FNP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:K
Last Name:RASBEARY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14026 FM 2100 RD STE E
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-9111
Mailing Address - Country:US
Mailing Address - Phone:281-328-4888
Mailing Address - Fax:281-328-8345
Practice Address - Street 1:14026 FM 2100 RD STE E
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-9111
Practice Address - Country:US
Practice Address - Phone:281-328-4888
Practice Address - Fax:281-328-8345
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120556363LF0000X
TX596493363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB144572Medicare UPIN