Johnny Ray Sanders

NPI 1053755470 - Contractor - 171W00000X

NPI Details
NPI 1053755470
Gender Male
Enumeration Date 04/29/2013
Last Updated 04/29/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
2632 BOWLING GREEN AVE
DALLAS TX, 75216-3236, US
Phone (405) 473-7230
Fax
Business Location
2632 BOWLING GREEN AVE
DALLAS TX, 75216-3236, US
Phone (405) 473-7230
Fax
Toxanomy
Taxonomy Code 171W00000X
License State
License Number
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According to our database, Mr. Johnny Ray Sanders NPI is 1053755470, taxonomy code is 171W00000X Johnny Ray Sanders physically located at 2632 Bowling Green Ave, Dallas TX, 75216-3236. NPI Number Johnny Ray Sanders has the Individual type.

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1053755470 NPI number is provided on an as is basis without warranty of any kind. 1053755470 is maintained by the National Plan & Provider Enumeration System. The contents of Johnny Ray Sanders are for informational purposes only.