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Individual
DR. SANDRA ELSTON
Active
Individual
DR. SANDRA ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5851TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821379991
GROUP NPI
TX
01
—
613961
MEDICARE GROUP PTAN
TX
01
—
81443Q
BLUECROSS BLUE SHIELD
TX
Enumeration date
10/03/2006
Last updated
09/29/2011
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