Provider Demographics
NPI:1871556308
Name:PASTOOR, SARA JOY (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JOY
Last Name:PASTOOR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4018 MONTEVERDE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2950
Mailing Address - Country:US
Mailing Address - Phone:210-325-1040
Mailing Address - Fax:210-585-2899
Practice Address - Street 1:3610 AVENUE B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-6508
Practice Address - Country:US
Practice Address - Phone:210-314-3780
Practice Address - Fax:210-585-2899
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL5825207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX303165YK00Medicare PIN