Jeremy Drew Sanderson, MD, PA
Plastic Surgery in Flower Mound, TX. Organization (NPI-2).
NPI number1609112358
StatusActive
Last updated in NPPESJun 26, 2013
Details
- NPI
- 1609112358
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeremy Drew Sanderson, MD, PA
- Organization subpart
- No
- Enumeration date
- Dec 28, 2012
- Last updated
- Jun 26, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | P2164 | TX | Yes |
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | P2164 | TX |
Practice location
4370 Medical Arts DrSuite 200
Flower Mound, TX 75028-1712
Phone 972-691-7900 · Fax 972-691-7910
Mailing address
6101 Long Prairie RdSuite 744-281
Flower Mound, TX 75028-6221
Phone 972-691-7900 · Fax 972-691-7910
Authorized official
Jeremy Drew Sanderson
Owner
2108374524
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Plastic Surgery Physician providers in Flower Mound, TX
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.