Provider Demographics
NPI:1871546218
Name:SANDERS, MARK S (MD PA)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:S
Last Name:SANDERS
Suffix:
Gender:M
Credentials:MD PA
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Mailing Address - Street 1:4126 SOUTHWEST FREEWAY
Mailing Address - Street 2:SUITE 1730
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7331
Mailing Address - Country:US
Mailing Address - Phone:713-622-3576
Mailing Address - Fax:713-622-3615
Practice Address - Street 1:4126 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 1730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7331
Practice Address - Country:US
Practice Address - Phone:713-622-3576
Practice Address - Fax:713-622-3615
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2024-04-17
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Provider Licenses
StateLicense IDTaxonomies
TXH0002207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175861111581OtherHUMANA
TX00JZ14OtherBLUE CROSS BLUE SHIELD
TX5648824OtherFIRST HEALTH
TX0620977OtherCIGNA
TX099095401Medicaid
TXP00422443OtherMEDICARE RAIL ROAD
TX2160583OtherBCBS BLUE LINK
TX4139015OtherAETNA
TX099095401Medicaid
TX5516540001Medicare NSC