Jimmy D Sanders in Greenville - Physician Assistant
Jimmy D Sanders - NPI 1568474419
Jimmy D Sanders is a Physician Assistant in Greenville, Texas. Jimmy D Sanders practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jimmy D Sanders is 1568474419. The last update date is 2017-10-03.
Jimmy D Sanders's current location address is 4101 Wesley St Ste E, Greenville, Texas. You can contact this provider via phone number 9034085860 and fax number 9034085869. The mailing address for Jimmy D Sanders is 4101 Wesley St Ste E, Greenville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy D Sanders |
|---|---|
| Address | 4101 Wesley St Ste E, Greenville, Texas |
| Phone Number | 9034085860 |
| Fax Number | 9034085869 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1568474419 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2017-10-03 |
Provider Mailing Address Detail
| Address | 4101 Wesley St Ste E |
|---|---|
| City | Greenville |
| State | Texas (TX) |
| Post Code | 754015635 |
| Phone Number | 9034085860 |
| Fax Number | 9034085869 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00444 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA00444 | TX | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jimmy D Sanders?
The Jimmy D Sanders has been issued the NPI (National Provider Identifier) 1568474419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jimmy D Sanders is physically located?
The Jimmy D Sanders is physically situated at the following address: 4101 Wesley St Ste E, Greenville, TX, 754015635.
What is Jimmy D Sanders's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jimmy D Sanders is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Jimmy D Sanders receive the assignment of its 1568474419 from the Centers for Medicare & Medicaid Services?
The Jimmy D Sanders was issued its 1568474419 by the Centers for Medicare & Medicaid Services on 2006-08-12.
When was the information related to Jimmy D Sanders most recently updated or refreshed?
The details pertaining to the Jimmy D Sanders, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-10-03.