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Individual

DR. DAVID IAN SANDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6410 FANNIN ST, SUITE 950, HOUSTON, TX 77030-3000
(832) 325-7234
(713) 512-2221
Mailing address
6431 FANNIN ST, MSB 5.140, HOUSTON, TX 77030-1501
(713) 500-7210
(713) 500-7352

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
ME89691
FL
207T00000X
Neurological Surgery Physician
Primary
P3236
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200472300A
OK
05
201183080
IN
05
2700638-00
FL
05
270063800
FL
05
300348502
TX
Enumeration date
07/13/2006
Last updated
05/13/2015
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