Cetl, Sandra

Cetl, Sandra is an sole proprietor health care provider with primary practice located at 1730 E Whitestone Blvd Ste 101 , Cedar Park TX 78613-7285. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Cetl, Sandra can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
1730 E Whitestone Blvd Ste 101 Cedar Park TX 78613-7285
Phone: (877) 800-5722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13619 Nevada
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X LL1779 Nevada
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R8166 Texas

Profile Details

NPI number 1629276092
LBN Legal business name Cetl, Sandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2007
Last updated Mar 4th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629276092 NPPES
Texas MEDICAID 386157701

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