Individual
DR. MARC R SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
3405 EDLOE ST, SUITE 300, HOUSTON, TX 77027-6520
(713) 797-1500
(713) 797-1150
Mailing address
3405 EDLOE ST, SUITE 300, HOUSTON, TX 77027-6520
(713) 797-1500
(713) 797-1150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J3593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133642202
—
TX
01
—
180034605
MEDICARE RAILROAD
TX
01
—
84920Y
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/21/2005
Last updated
06/25/2010
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