Individual
RANDOLPH K SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
555 1 H 35 SOUTH, SUITE 422, NEW BRAUNFELS, TX 78130
(830) 620-7377
(830) 625-4962
Mailing address
555 1 H 35 SOUTH, SUITE 422, NEW BRAUNFELS, TX 78130
(830) 620-7377
(830) 625-4962
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0022340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L13A
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/29/2006
Last updated
07/08/2007
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