Provider Demographics
NPI:1568281145
Name:SISSON, SARAH HART (RRT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HART
Last Name:SISSON
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 BRESTOL CT E
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-2303
Mailing Address - Country:US
Mailing Address - Phone:817-879-1645
Mailing Address - Fax:
Practice Address - Street 1:912 BRESTOL CT E
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-2303
Practice Address - Country:US
Practice Address - Phone:817-879-1645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX719822279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health