Doctor Name: | SARAH NICOLE PERCY |
NPI Number: | 1073860052 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS |
License Number: | ETN98 |
Business Practice Address: | 7703 Floyd Curl Drive, Msc 7903 Ut Health Science Center At San Antonio, Advanced Gener San Antonio, TX - 782293900 |
Business Phone Number: | 2105673456 |
Business Fax Number: | 2105673443 |
Mailing Address: | 7703 Floyd Curl Drive, Msc 7914, Ut Health Science Center At San Antonio SAN ANTONIO |
State: | TX |
Postal Code: | 782293900 |
Phone Number: | 2105673456 |
Fax Number: | 2105673443 |
NPI Enumeration Date: | 08/09/2012 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | ETN98 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |