Individual
SHUNTAY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 PACIFIC AVE, DALLAS, TX 75201-4529
(972) 515-3149
Mailing address
1910 PACIFIC AVE, DALLAS, TX 75201-4529
(972) 515-3149
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
291U00000X
TX
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
261QH0401X
TX
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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