Individual
CHARLES ROBERT SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 LOWES BLVD, KILLEEN, TX 76542-5201
(254) 200-1165
Mailing address
PO BOX 337, HENDERSON, TX 75653-0337
(903) 854-2192
(903) 854-2407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2907TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191983-01
—
TX
Enumeration date
04/10/2006
Last updated
01/11/2008
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