Provider Demographics
NPI:1477053411
Name:AMYS, SARA (PA-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:AMYS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E TAYLOR ST STE 308
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2826
Mailing Address - Country:US
Mailing Address - Phone:699-477-4634
Mailing Address - Fax:866-559-0952
Practice Address - Street 1:600 E TAYLOR ST STE 308
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2826
Practice Address - Country:US
Practice Address - Phone:469-947-7463
Practice Address - Fax:866-559-0952
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14059363AS0400X
MN12625363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical