Individual
STANLEY SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
17490 HIGHWAY 3 STE 100A, WEBSTER, TX 77598-4160
(281) 332-4888
(281) 332-1834
Mailing address
17490 HIGHWAY 3 STE 100A, WEBSTER, TX 77598-4160
(281) 332-4888
(281) 332-1834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
182
TX
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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