De Sandro, Michael S

De Sandro, Michael S is an individual health care provider with primary practice located at 500 N Highland Ave , Sherman TX 75092-7354. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. De Sandro, Michael S can be contacted via phone (903) 870-4609.

Contact Information

Primary practice address
500 N Highland Ave Sherman TX 75092-7354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04679 Texas

Profile Details

NPI number 1659487627
LBN Legal business name De Sandro, Michael S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Dec 8th, 2011 - about 14 years 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 1659487627 NPPES
Texas MEDICAID 281974001
Texas MEDICAID 281974003
Texas MEDICAID 281974002
Texas Other 8N9634

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