Organization
MARC R. SANDERS, M.D., P.A.
Active
Other names
Diagnostic Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC R SANDERS M.D., P.A. (OWNER)
(713) 797-1500
Entity
Organization
Contact information
Practice address
3405 EDLOE ST, SUITE 300, HOUSTON, TX 77027-6520
(713) 797-1500
(713) 797-1150
Mailing address
3405 EDLOE ST, SUITE 300, HOUSTON, TX 77027-6520
(713) 797-1500
(713) 797-1150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6115TG
TX
152W00000X
Optometrist
8187T
TX
207W00000X
Ophthalmology Physician
Primary
J3593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077EB
BCBS GROUP
TX
05
—
080929501
—
TX
01
—
687760
AETNA
TX
01
—
CG6329
MEDICARE RAILROAD
TX
Enumeration date
05/03/2007
Last updated
07/03/2013
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