Individual
DAVID PAUL SANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 E ROYALL BLVD, MALAKOFF, TX 75148-9255
(903) 489-0101
(903) 489-9136
Mailing address
PO BOX 129, 815 ROYALL BLVD STE 3, MALAKOFF, TX 75148-0129
(903) 489-0101
(903) 489-9136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E6603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069GP
BCBS
TX
01
—
080169693
PALMETTO RAILROAD
TX
Enumeration date
05/31/2006
Last updated
06/29/2020
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