Sanders, Randolph K

Sanders, Randolph K is an individual health care provider with primary practice located at 555 1 H 35 South Suite 422, New Braunfels TX 78130. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sanders, Randolph K can be contacted via phone (830) 620-7377.

Contact Information

Primary practice address
555 1 H 35 South Suite 422 New Braunfels TX 78130
Fax: (830) 625-4962
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0022340 Texas

Profile Details

NPI number 1629145909
LBN Legal business name Sanders, Randolph K
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1629145909 NPPES
Other 00L13A BLUE CROSS BLUE SHIELD

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