Provider Demographics
NPI:1316768609
Name:MAISUR, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MAISUR
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 1:24106 TIRSO RIVER CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4079
Mailing Address - Country:US
Mailing Address - Phone:713-382-7365
Mailing Address - Fax:
Practice Address - Street 1:24106 TIRSO RIVER CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-4079
Practice Address - Country:US
Practice Address - Phone:713-382-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider