MEDICARE: SANDRA SHARON JOSHUA

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	363A00000X	Physician Assistant	PA13333	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1891343869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA SHARON JOSHUA

Provider Business Mailing Address
First Line	:	4125 CANDLEWYCK DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-4803
Country	:	US
Telephone Number	:	214-577-7240
Fax Number	:

Provider Business Practice Location Address
First Line	:	UT SOUTHWESTERN 5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-0001
Country	:	US
Telephone Number	:	214-645-8250
Fax Number	:

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

Provider Enumeration Date	:	09/03/2019
Last Update Date	:	12/31/2025

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