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General NPI Number Information
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NPI Number | 1447295894
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Entity Type | Individual
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Provider Name | WILLIAM C SANDERS D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 108 DENVER TRL
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City | AZLE
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State | TX
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Zip | 76020-3614
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Country | US
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Telephone | 254-694-5092
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Fax | 254-694-7039
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Provider Business Mailing Address
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Address Line | PO BOX 797
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City | LANCASTER
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State | TX
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Zip | 75146-0797
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Country | US
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Telephone | 254-694-5092
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Fax | 254-694-7039
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H5624
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License Number State | TX
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