Provider Demographics
NPI:1093011280
Name:APPLEGATE, SARAH GILLIS (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GILLIS
Last Name:APPLEGATE
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4747 BELLAIRE BLVD
Mailing Address - Street 2:STE 575
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4535
Mailing Address - Country:US
Mailing Address - Phone:713-575-3686
Mailing Address - Fax:713-575-3688
Practice Address - Street 1:1331 W GRAND PKWY N STE 210
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2711
Practice Address - Country:US
Practice Address - Phone:713-936-0621
Practice Address - Fax:713-575-3688
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA07767363A00000X, 363A00000X
OK2390363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP01450942OtherRR MEDICARE
TXTXB157771Medicare UPIN
NY371481YMU8Medicare PIN