Provider Demographics
NPI:1669625612
Name:GEE, SARAH NORANNE (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NORANNE
Last Name:GEE
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 1:15601 SH 71 WEST
Mailing Address - Street 2:STE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738
Mailing Address - Country:US
Mailing Address - Phone:512-886-7546
Mailing Address - Fax:512-265-9621
Practice Address - Street 1:15601 SH 71 WEST
Practice Address - Street 2:STE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738
Practice Address - Country:US
Practice Address - Phone:512-886-7546
Practice Address - Fax:512-265-9621
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119404207N00000X
TXQ8249207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1669625612Medicaid
CAGK750ZMedicare PIN
CAGK750YMedicare PIN