Individual
PAUL SANDEFUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 S OLD BETSY RD APT 11, KEENE, TX 76059-2458
(214) 707-8782
(817) 556-3445
Mailing address
PO BOX 601, BURLESON, TX 76097-0601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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