Individual
MILES SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-8500
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
NA
KS
207L00000X
Anesthesiology Physician
Primary
U9350
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
U9350
TX
Other
Enumeration date
04/06/2020
Last updated
05/13/2025
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