Provider Demographics
NPI:1740161280
Name:VARA, SANDRA F
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:F
Last Name:VARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RIDGEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-2146
Mailing Address - Country:US
Mailing Address - Phone:210-884-8814
Mailing Address - Fax:
Practice Address - Street 1:10 RIDGEWOOD CIR
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-2146
Practice Address - Country:US
Practice Address - Phone:210-884-8814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health