Individual
MR. KELLY DEAN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
7309 WINDING WAY DR, ARLINGTON, TX 76001-2006
(817) 714-9066
Mailing address
7309 WINDING WAY DR, ARLINGTON, TX 76001-2006
(817) 714-9066
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00575
TX
363AS0400X
Surgical Physician Assistant
381
TX
Other
Enumeration date
05/21/2010
Last updated
03/28/2020
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