Individual
DR. SANDRA D VALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1123 N MAIN AVE, SAN ANTONIO, TX 78212-4740
(210) 261-3100
(210) 444-1828
Mailing address
3031 W IH 10, SAN ANTONIO, TX 78201-5159
(210) 261-1000
(210) 731-8678
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M8400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2790068414
MYUTMB 2790068414-COMMERCIAL NUMBER
—
01
—
341417YL60
MEDICARE PTAN
—
01
—
TXB155391
WELLMED NETWORKS INC
—
Enumeration date
06/14/2007
Last updated
06/19/2014
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