Individual
JIMMY D SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4818 WELLINGTON ST STE 1, GREENVILLE, TX 75402-6010
(903) 408-5860
(903) 408-5869
Mailing address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5834
(903) 408-5693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00444
LICENSE
TX
Enumeration date
08/12/2006
Last updated
04/30/2026
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