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Organization
SANDOVAL CHILDREN'S CLINIC PA
Active
Organization
SANDOVAL CHILDREN'S CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE T SANDOVAL MD (PRESIDENT/OWNER)
(956) 464-4406
Entity
Organization
Contact information
Practice address
605 N MAIN ST STE C, DONNA, TX 78537-2726
(956) 464-4406
(956) 464-0136
Mailing address
605 N MAIN ST STE B, DONNA, TX 78537-2726
(956) 464-4407
(956) 464-0136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F5736
TX
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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