Individual provider · Type 1 NPI

Stefanie N. Sanderson, PA-C

Surgical Physician Assistant · Southlake, TX

NPI number 1750385456 Active

Practice location

1545 E Southlake Blvd, Suite 100
Southlake, TX 76092-6422

Fax (817) 796-0763

Mailing address

PO Box 502
Roanoke, TX 76262-0502

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA04819 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1750385456

Stefanie N. Sanderson, PA-C's National Provider Identifier is 1750385456, issued on Jun 9, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Southlake, TX. The record was last updated on Sep 11, 2018.