Basic Information
Provider Information
NPI: 1134448681
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHUR
FirstName: SARAH
MiddleName: MEGHANN
NamePrefix:  
NameSuffix:  
Credential: WHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7718 WOOD HOLLOW DR
Address2: STE 100
City: AUSTIN
State: TX
PostalCode: 787311648
CountryCode: US
TelephoneNumber: 5122796701
FaxNumber:  
Practice Location
Address1: 1301 W 38TH ST
Address2: STE 300
City: AUSTIN
State: TX
PostalCode: 787051000
CountryCode: US
TelephoneNumber: 5124545721
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2010
LastUpdateDate: 04/10/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X782374TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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