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Individual

JOANN M SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4007
(682) 885-4004
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
H5623
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U87Z
BCBSTX GRP PIN
TX
05
083880701
TX
01
10028772
AMERIGROUP PIN
TX
01
123213101
FIRSTCARE PIN
TX
01
124185
SUPERIOR PIN
TX
05
134733808
TX
05
137345808
TX
01
3108280
CIGNA PIN
TX
01
4133086
AETNA PIN
TX
01
526517
FIRSTHEALTH PIN
TX
01
60270
UHC PIN
TX
01
81X461
BCBSTX IND PIN
TX
Enumeration date
10/02/2006
Last updated
04/20/2012
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