Provider Demographics
NPI:1083593271
Name:SIRMANS, SAUNDRA LAVON
Entity type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:LAVON
Last Name:SIRMANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 TOWN LAKE BND
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-3192
Mailing Address - Country:US
Mailing Address - Phone:917-821-4684
Mailing Address - Fax:
Practice Address - Street 1:422 TOWN LAKE BND
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-3192
Practice Address - Country:US
Practice Address - Phone:917-821-4684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY472477163WC0400X
TX1132497163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management