Individual
SANDRA E CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5925 FOREST LN, #116, DALLAS, TX 75230-2712
(972) 991-1700
Mailing address
5925 FOREST LN, #116, DALLAS, TX 75230-2712
(972) 991-1700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018650401
—
TX
Enumeration date
08/31/2006
Last updated
01/23/2009
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