Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | H5623 | TX |
NPI | 1184717803 |
---|---|
Provider Name | Joann M Sanders |
First Address | Fort Worth, TX 76199-0371 |
Second Address | Fort Worth, TX 76104-2710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 20/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00U87Z | BCBSTX GRP PIN (01) | TX |
083880701 | (05) | TX |
10028772 | AMERIGROUP PIN (01) | TX |
123213101 | FIRSTCARE PIN (01) | TX |
124185 | SUPERIOR PIN (01) | TX |
134733808 | (05) | TX |
137345808 | (05) | TX |
3108280 | CIGNA PIN (01) | TX |
4133086 | AETNA PIN (01) | TX |
526517 | FIRSTHEALTH PIN (01) | TX |
60270 | UHC PIN (01) | TX |
81X461 | BCBSTX IND PIN (01) | TX |
E04561 | (02) |