Individual
DYLLON SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 N HIGH ST, HENDERSON, TX 75652-3133
(033) 928-2599
(903) 657-1674
Mailing address
105 N HIGH ST, HENDERSON, TX 75652-3133
(903) 392-8259
(903) 657-1674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12409
TX
Other
Enumeration date
10/30/2018
Last updated
05/16/2024
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