Individual
MR. MARK SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3046 FORDHAM RD, DALLAS, TX 75216-4819
(469) 893-0441
Mailing address
3060 FORDHAM RD, DALLAS, TX 75216-4819
(469) 893-0441
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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