Provider Demographics
NPI:1588151989
Name:MOUFARRIJ, SARA MARIA (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MARIA
Last Name:MOUFARRIJ
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 1:2555 PENNSYLVANIA AVE NW APT 311
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1640
Mailing Address - Country:US
Mailing Address - Phone:202-431-2656
Mailing Address - Fax:
Practice Address - Street 1:ONE BAYLOR PLAZA, BCM610 HOUSTON, TX 77030
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-826-7372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10064218207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics