Organization
KEITH SANFORD, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD K SANFORD MD (OWNER)
(210) 930-2015
Entity
Organization
Contact information
Practice address
3338 OAKWELL CT, STE 212, SAN ANTONIO, TX 78218-3088
(210) 930-2015
(210) 822-3690
Mailing address
3338 OAKWELL CT, STE 212, SAN ANTONIO, TX 78218
(210) 930-2015
(210) 822-3690
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042HH
BLUE CROSS BLUE SHIELD
TX
05
—
177022401
—
TX
Enumeration date
07/05/2007
Last updated
12/16/2015
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