Organization
THIRD EYE WOUND CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN SANDERS DO (PRESIDENT, CEO)
(817) 688-1588
Entity
Organization
Contact information
Practice address
3437 W 7TH ST, FORT WORTH, TX 76107-2718
(817) 688-1588
(817) 423-7361
Mailing address
3437 W 7TH ST, FORT WORTH, TX 76107-2718
(817) 688-1588
(817) 423-7361
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
K9653
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
K9653
TX
209800000X
Legal Medicine (M.D./D.O.) Physician
K9653
TX
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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