Individual
CARLOS SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
214 RILEY LN, FREDERICKSBURG, TX 78624-3562
(214) 227-2457
(214) 764-0880
Mailing address
214 RILEY LN, FREDERICKSBURG, TX 78624-3562
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
164680
TX
Other
Enumeration date
03/29/2016
Last updated
08/10/2021
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