Individual
DONNA MARIE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 GRAND PLAINS DR, HOUSTON, TX 77090-5613
(832) 830-1869
(281) 315-5449
Mailing address
903 GRAND PLAINS DR, HOUSTON, TX 77090-5613
(832) 830-1869
(281) 315-5449
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
TX
01
—
01
01
TX
05
—
05
—
TX
Enumeration date
12/08/2019
Last updated
12/08/2019
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