Individual
DR. MICHAEL BLAKE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7715 SAN JACINTO PL, SUITE 100, PLANO, TX 75032-3215
(214) 245-4424
(972) 618-4000
Mailing address
7715 SAN JACINTO PL, SUITE 100, PLANO, TX 75032-3215
(214) 245-4424
(972) 618-4000
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
L7158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CU075
BCBSTX
TX
01
—
TXB128948
MEDICARE PTAN
—
Enumeration date
10/13/2006
Last updated
03/14/2013
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