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General NPI Number Information
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NPI Number | 1235137621
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Entity Type | Individual
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Provider Name | SCOTT J SANDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 928 SOUTH BOLTON STREET
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City | JACKSONVILLE
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State | TX
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Zip | 75766
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Country | US
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Telephone | 903-586-7900
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Fax | 903-586-4373
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Provider Business Mailing Address
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Address Line | 3601 4TH STREET STOP 7217
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City | LUBBOCK
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State | TX
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Zip | 79430
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Country | US
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Telephone | 806-743-2020
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Fax | 806-743-2471
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E2840
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License Number State | TX
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