Provider Demographics
NPI:1811249485
Name:SARVER, BRITTA J (ATP)
Entity type:Individual
Prefix:MRS
First Name:BRITTA
Middle Name:J
Last Name:SARVER
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 CALDER ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-2015
Mailing Address - Country:US
Mailing Address - Phone:409-832-3400
Mailing Address - Fax:409-832-2812
Practice Address - Street 1:2310 CALDER ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-2015
Practice Address - Country:US
Practice Address - Phone:409-832-3400
Practice Address - Fax:409-832-2812
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48381174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0168569-01Medicaid
TX1169100001Medicare NSC