Provider Demographics
NPI:1265176002
Name:STUBBS WALDEN, SARA M (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:STUBBS WALDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 S IH 35 STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-5906
Mailing Address - Country:US
Mailing Address - Phone:512-878-6946
Mailing Address - Fax:512-878-6941
Practice Address - Street 1:2430 S IH 35
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5906
Practice Address - Country:US
Practice Address - Phone:512-878-6946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV8777207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine