Individual
AUDREY J SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 E MARSHALL AVE, LONGVIEW, TX 75601-5545
(903) 315-4880
(903) 315-2833
Mailing address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20376
TX
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
10002529A
IN
363AM0700X
Medical Physician Assistant
4789
OK
Other
Enumeration date
07/03/2018
Last updated
07/07/2026
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