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Sandra Ingram

NPI 1063056323 · on the registry since 2019 · sole proprietor

Practice

Address
810 Lacey Drive
Bandera, TX 78003
Phone
(830) 688-1749

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
374U00000X
376K00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas