Individual
FAREESA SHUJA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1760 ROUND ROCK AVE, ROUND ROCK, TX 78681-4217
(512) 583-3376
(512) 540-8175
Mailing address
1760 ROUND ROCK AVE, ROUND ROCK, TX 78681-4217
(512) 583-3376
(512) 666-3243
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P8078
TX
Other
Enumeration date
06/20/2010
Last updated
02/06/2019
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