Individual provider · Type 1 NPI

Tiffany Sanderson, P.A

Surgical Physician Assistant · Dallas, TX

NPI number 1164527057 Active

Practice location

3600 Gaston Ave, Suite 907
Dallas, TX 75246-1800

Fax (214) 823-5747

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA04848 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1164527057

Tiffany Sanderson, P.A's National Provider Identifier is 1164527057, issued on Sep 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.