Organization
MARK S SANDERS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S SANDERS MD PA (OWNER)
(713) 622-3576
Entity
Organization
Contact information
Practice address
4126 SOUTHWEST FWY, SUITE 1730, HOUSTON, TX 77027-7310
(713) 622-3576
(713) 622-3615
Mailing address
PO BOX 27207, HOUSTON, TX 77227-7207
(713) 622-3576
(713) 622-3615
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H0002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0620977
CIGNA
TX
05
—
099095401
—
TX
01
—
175861111581
HUMANA
TX
01
—
2160583
BCBS BLUE LINK
TX
01
—
4139015
AETNA
TX
01
—
8DN944
BLUE CROSS BLUE SHILD
TX
Enumeration date
12/12/2012
Last updated
12/05/2013
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