Sands, Mark R

Sands, Mark R is an individual health care provider with primary practice located at 119 E Edgewood Dr , Friendswood TX 77546-3818. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sands, Mark R can be contacted via phone (281) 996-9546.

Contact Information

Primary practice address
119 E Edgewood Dr Friendswood TX 77546-3818
Phone: (281) 996-9546
Fax: (281) 996-7645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1076 Texas

Profile Details

NPI number 1386646339
LBN Legal business name Sands, Mark R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jan 16th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386646339 NPPES
Texas Other 0004328912 AETNA PROVIDER ID
Texas Other P00174690 AETNA PROVIDER ID
Texas MEDICAID 119842602 AETNA PROVIDER ID
Texas Other 8M1220 AETNA PROVIDER ID

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