Sands, Mark R
Sands, Mark R is an individual health care provider with primary practice located at 119 E Edgewood Dr , Friendswood TX 77546-3818. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sands, Mark R can be contacted via phone (281) 996-9546.Contact Information
Primary practice address
119 E Edgewood Dr
Friendswood TX 77546-3818
Phone: (281) 996-9546
Fax: (281) 996-7645
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1076 | Texas |
Profile Details
NPI number | 1386646339 |
---|---|
LBN Legal business name | Sands, Mark R |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2005 |
Last updated | Jan 16th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386646339 | NPPES |
Texas | Other | 0004328912 | AETNA PROVIDER ID |
Texas | Other | P00174690 | AETNA PROVIDER ID |
Texas | MEDICAID | 119842602 | AETNA PROVIDER ID |
Texas | Other | 8M1220 | AETNA PROVIDER ID |
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