Provider Demographics
NPI:1790072676
Name:SAGINAW, SARA M (DO)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:SAGINAW
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 N TYLER ST UNIT 404
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-3923
Mailing Address - Country:US
Mailing Address - Phone:469-358-3165
Mailing Address - Fax:
Practice Address - Street 1:1400 N COIT RD
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6655
Practice Address - Country:US
Practice Address - Phone:888-803-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP61017295207Q00000X
FLOS17980207Q00000X
CA20A19145207Q00000X
TXN9407207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine