Provider Demographics
NPI:1558874990
Name:HOLTZMAN, SARAH JANE (APN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:HOLTZMAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:HOLTZMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7451 W STATE HIGHWAY 29
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-6849
Practice Address - Country:US
Practice Address - Phone:512-509-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily