Individual
DR. MARK R SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
119 E EDGEWOOD DR, FRIENDSWOOD, TX 77546-3818
(281) 996-9546
(281) 996-7645
Mailing address
PO BOX 4572, HOUSTON, TX 77210-4572
(281) 996-9546
(281) 996-7645
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004328912
AETNA PROVIDER ID
TX
05
—
119842602
—
TX
01
—
8M1220
BLUE CROSS BLUE SHIELD
TX
01
—
P00174690
RAILROAD MEDICARE
TX
Enumeration date
06/02/2005
Last updated
01/16/2008
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