Houston, Sara Nicole

Houston, Sara Nicole is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Houston, Sara Nicole can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01071158A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44987 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12673 North Dakota

Profile Details

NPI number 1083856884
LBN Legal business name Houston, Sara Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2009
Last updated Oct 13th, 2020 - about 6 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 1083856884 NPPES
North Dakota MEDICAID 18250

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