Provider Demographics
NPI:1982671319
Name:CAREY, SANDRA A (NP)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:A
Last Name:CAREY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1650 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3565
Mailing Address - Country:US
Mailing Address - Phone:214-886-1529
Mailing Address - Fax:817-424-4565
Practice Address - Street 1:1643 LANCASTER DR
Practice Address - Street 2:SUITE 203
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3593
Practice Address - Country:US
Practice Address - Phone:817-329-7670
Practice Address - Fax:817-416-0145
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX609150363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175936702Medicaid
TX8J6047Medicare PIN
TXQ50435Medicare UPIN
TXTXB161743Medicare PIN