Individual
DR. SANDY M BIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 S CLEAR CREEK RD, SUITE 290, KILLEEN, TX 76549-5775
(254) 618-1555
(254) 618-1566
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J1192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128293104
—
TX
01
—
200035671
MEDICARE RAILROAD
TX
01
—
82740X
BC/BS
TX
01
—
CF8743
RAILROAD MEDICARE GROUP
TX
Enumeration date
07/15/2005
Last updated
12/06/2021
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