Individual
DR. MARY ELIZABETH SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13700 MEDICAL COMPLEX DR, TOMBALL, TX 77375-6554
(713) 467-5700
(713) 467-5702
Mailing address
PO BOX 73152, HOUSTON, TX 77273-3152
(713) 467-5700
(713) 467-5702
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
J2981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DT11
BLUE CROSS
TX
05
—
037031402
—
TX
01
—
760377143
TAX IDENTIFICATION NUMBER
TX
Enumeration date
07/13/2005
Last updated
08/31/2012
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