Basic Information
| Provider Information | |||||||||
| NPI: | 1518227289 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STUART | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | RENEE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2415 TOWN CENTER DR | ||||||||
| Address2: | STE 300 | ||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774784387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812010657 | ||||||||
| FaxNumber: | 2813360764 | ||||||||
| Practice Location | |||||||||
| Address1: | 8100 HIGHWAY 6 N | ||||||||
| Address2: | STE E | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770951900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8323042314 | ||||||||
| FaxNumber: | 2813360764 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2012 | ||||||||
| LastUpdateDate: | 12/08/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | P9125 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.