Individual
DR. GEREMY LEE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9010 BRODIE LN STE D-100, AUSTIN, TX 78748-5186
(512) 329-5705
(512) 329-5720
Mailing address
9010 BRODIE LN STE D-100, AUSTIN, TX 78748-5186
(512) 329-5705
(512) 329-5720
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
N7869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05205332
—
MS
05
—
1020672
—
LA
01
—
8DA966
BCBS OF TX
TX
Enumeration date
06/03/2007
Last updated
01/22/2025
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