Organization
SANDIA NEUROLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CHRISTOPHER (BILLING MANAGER)
(940) 723-7000
Entity
Organization
Contact information
Practice address
1515 10TH ST, WICHITA FALLS, TX 76301-4404
(940) 723-7000
(940) 723-7007
Mailing address
1515 10TH ST, WICHITA FALLS, TX 76301-4404
(940) 723-7000
(940) 723-7007
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005472-01
—
TX
Enumeration date
12/04/2008
Last updated
10/01/2020
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