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Contact Information

STEFANIE N SANDERSON, PA-C
1545 E SOUTHLAKE BLVD
SUITE 100
SOUTHLAKE, TX76092-6422
 Phone: 817-442-9300
 Fax: 817-796-0763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEFANIE N SANDERSON · (Female)

NPI Number 1750385456
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/09/2005
Last updated 09/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA04819
Hospital affiliation(s)
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN - (Acute Care)
    1105 CENTRAL EXPRESSWAY NORTH
    ALLEN, TX 75013
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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