MEDICARE: VICTORIA SANDERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1891491478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA SANDERS

Provider Business Mailing Address
First Line	:	2904 FRANCISCAN DR APT 1634
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2572
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 N CENTRAL EXPY STE 1304
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-5047
Country	:	US
Telephone Number	:	972-581-4722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	02/06/2023

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Directions to “ VICTORIA SANDERS ” Practice Location

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