MEDICARE: MR. DAVID SANDWIDI

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	163WH1000X	Hospice Registered Nurse	1109633	TX

General Provider Information

NPI Number	:	1841159035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID SANDWIDI

Provider Business Mailing Address
First Line	:	3129 KINGSLEY DR STE 1050A
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8509
Country	:	US
Telephone Number	:	877-657-3223
Fax Number	:

Provider Business Practice Location Address
First Line	:	3129 KINGSLEY DR STE 1050A
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8509
Country	:	US
Telephone Number	:	877-657-3223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ MR. DAVID SANDWIDI ” Practice Location

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