Avery, Sarah S.

Avery, Sarah S. is an individual health care provider with primary practice located at 12554 Riata Vista Cir , Austin TX 78727-6431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Avery, Sarah S. can be contacted via phone (512) 795-5100.

Contact Information

Primary practice address
12554 Riata Vista Cir Austin TX 78727-6431
Phone: (512) 795-5100
Fax: (512) 795-5122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X K7983 Texas

Profile Details

NPI number 1770585937
LBN Legal business name Avery, Sarah S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770585937 NPPES
Texas MEDICAID 102555301
Texas Other 102555303
Texas Other 300127105
Texas MEDICAID 102555302
Texas Other 102555304
Texas Other 300112315

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