Individual
DR. JEFFREY SCOTT SANDATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 N BISHOP AVE, DALLAS, TX 75208-4114
(214) 942-3100
Mailing address
1135 N BISHOP AVE, DALLAS, TX 75208-4114
(214) 942-3100
(214) 942-8030
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP1-0017166
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
M9632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201691701
—
TX
Enumeration date
06/14/2007
Last updated
12/27/2012
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