Provider Demographics
NPI:1942205919
Name:APSLEY-AMBRIZ, SARA J (DO)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:J
Last Name:APSLEY-AMBRIZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4435 DEZAVALA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2040
Mailing Address - Country:US
Mailing Address - Phone:210-694-4081
Mailing Address - Fax:210-696-8053
Practice Address - Street 1:4435 DEZAVALA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2040
Practice Address - Country:US
Practice Address - Phone:210-694-4081
Practice Address - Fax:210-696-8053
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG4792207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13337000-09Medicaid
TXTXB105716Medicare PIN