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Individual
DR. SANDRA K. IMES
Active
Individual
DR. SANDRA K. IMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439895-01
—
TX
01
—
080161871
RR/MEDICARE
TX
01
—
85682N
BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
06/26/2014
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