Provider Demographics
NPI:1255889655
Name:BARKER, SARA (ANP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:ANP
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 278
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-6278
Mailing Address - Country:US
Mailing Address - Phone:830-876-9458
Mailing Address - Fax:830-876-2411
Practice Address - Street 1:1313 VETERANS BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:CRYSTAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78834
Practice Address - Country:US
Practice Address - Phone:830-374-9823
Practice Address - Fax:830-374-9858
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily