Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | TX | |
N | 111NN0400X | Neurology | TX |
NPI | 1043356694 |
---|---|
Provider Name | Dr. Dianne Shirley Sand |
First Address | San Marcos, TX 78666-6902 |
Second Address | San Marcos, TX 78666-6902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |