Individual
DR. SANDRA EILEEN BOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1195 GARNER FIELD RD, SUITE 300, UVALDE, TX 78801-4820
(830) 278-3086
Mailing address
1195 GARNER FIELD RD, SUITE 300, UVALDE, TX 78801-4820
(830) 278-3086
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L6993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L6993
STATE LICENSE
TX
Enumeration date
02/17/2006
Last updated
11/17/2016
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