Individual
DR. DAMIEN BROUGH SANDERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 W TIDWELL RD STE 150, HOUSTON, TX 77091-4354
(281) 447-5570
(949) 703-8954
Mailing address
509 W TIDWELL RD STE 150, HOUSTON, TX 77091-4354
(281) 447-5570
(949) 703-8954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L6617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160859801
—
TX
01
—
160860601
INDIVIDUAL MEDICAID NO
TX
Enumeration date
01/25/2006
Last updated
05/12/2025
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