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NPI Code Detail

MEDICARE: DR. JULIE SANDSTAD M.D.

MEDICARE: DR. JULIE SANDSTAD M.D.
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
1207ZC0500XCytopathology PhysicianG8647TX
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianG8647TX

General Provider Information

NPI Number : 1437156874
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE SANDSTAD M.D.
Provider Business Mailing Address
First Line : PO BOX 101867
Second Line :
City : FORT WORTH
State : TX
Zip : 76185-1867
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 PENNSYLVANIA AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2113
Country : US
Telephone Number : 713-432-1100
Fax Number : 713-432-0221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 09/11/2025

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Directions to “ DR. JULIE SANDSTAD M.D.” Practice Location

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