Provider Demographics
NPI:1023427028
Name:ROBINSON, SARAH TYNDALL (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:TYNDALL
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:TYNDALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12550 LOUETTA RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2139
Mailing Address - Country:US
Mailing Address - Phone:281-257-7792
Mailing Address - Fax:
Practice Address - Street 1:3616 RICHMOND AVE
Practice Address - Street 2:#11003
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77046-3607
Practice Address - Country:US
Practice Address - Phone:229-873-7206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09239363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant