Provider Demographics
NPI:1457573222
Name:KENT, SARAH (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 HWY. 380
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CROSS ROADS
Mailing Address - State:TX
Mailing Address - Zip Code:76227
Mailing Address - Country:US
Mailing Address - Phone:940-365-9389
Mailing Address - Fax:940-365-9128
Practice Address - Street 1:3201 US HIGHWAY 380
Practice Address - Street 2:SUITE 101
Practice Address - City:CROSSROADS
Practice Address - State:TX
Practice Address - Zip Code:76227-2464
Practice Address - Country:US
Practice Address - Phone:940-365-9389
Practice Address - Fax:940-365-9128
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.121428207Q00000X
TXP4971207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL436860044OtherSWEDISHAMERICAN MEDICARE PIN
TXP01198723OtherMEDICARE RAILROAD
TX318484801Medicaid
TXP01198723OtherMEDICARE RAILROAD