Individual
CORRY BRYCE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S 31ST ST # MS 01161B, TEMPLE, TX 76508-0001
(903) 245-4824
Mailing address
1235 KISKADEE BRANCH DR, TEMPLE, TX 76502-2175
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
10/01/2021
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