Provider Demographics
NPI:1912499203
Name:CERILLES, SARA KEIHANY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:KEIHANY
Last Name:CERILLES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7310 CAMINO VERDE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2949
Mailing Address - Country:US
Mailing Address - Phone:832-768-2284
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 901
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2720
Practice Address - Country:US
Practice Address - Phone:713-441-1026
Practice Address - Fax:713-790-2986
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136167363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily