MEDICARE: MARK S SANDERS MD PA

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	207X00000X	Orthopaedic Surgery Physician	H0002	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8DN944	OTHER	TX	BLUE CROSS BLUE SHILD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4139015	OTHER	TX	AETNA
4	0620977	OTHER	TX	CIGNA
5	2160583	OTHER	TX	BCBS BLUE LINK
6	175861111581	OTHER	TX	HUMANA

General Provider Information

NPI Number	:	1255677688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK S SANDERS MD PA

Provider Business Mailing Address
First Line	:	5177 RICHMOND AVE STE 250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-6718
Country	:	US
Telephone Number	:	713-622-3576
Fax Number	:	713-622-3615

Provider Business Practice Location Address
First Line	:	5177 RICHMOND AVE STE 250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-6718
Country	:	US
Telephone Number	:	713-622-3576
Fax Number	:	713-622-3615

Authorized Official
Title or Position	:	M.D.
Name	:	MARK SANDERS
Credential	:	M.D.
Telephone Number	:	713-622-3576

Provider Enumeration Date	:	12/12/2012
Last Update Date	:	06/02/2026

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