Healthcare Provider Details

I. General information

NPI: 1659534568
Provider Name (Legal Business Name): SANDRA FINK TEMPLETON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA CLOUGH FINK M.D.

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 10/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16605 SOUTHWEST FWY SUITE 220
SUGAR LAND TX
77479-3501
US

IV. Provider business mailing address

16605 SOUTHWEST FWY SUITE 220
SUGAR LAND TX
77479-3501
US

V. Phone/Fax

Practice location:
  • Phone: 281-494-3000
  • Fax: 281-494-3010
Mailing address:
  • Phone: 281-494-3000
  • Fax: 281-494-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberL1574
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: