SearchTexas367A00000X

Sandra Tallbear

NPI 1659671741 · on the registry since 2010 · sole proprietor

Practice

Address
705 Belmont Dr
Georgetown, TX 78626
Phone
(512) 863-0707

Registry record

Primary taxonomy
367A00000X
367A00000X
Also registered as
163W00000X
367A00000X
Licence states on file
TX, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-11

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