Sandoval Children's Clinic PA

NPI #1700184579 in Donna, Texas

Provider Information

NPI Number: 1700184579
Entity Type: Organization
Organization Name: Sandoval Children's Clinic PA
Primary Specialty: Family Medicine
Enumeration Date: Mar 3, 2011
Last Updated: Mar 3, 2011

Practice Location

Address: 605 N MAIN ST STE C
City: Donna
State: Texas
ZIP Code: 78537-2726
Phone: (956) 464-4406

Authorized Official

Name: JOSE T SANDOVAL, MD
Title: PRESIDENT/OWNER
Phone: (956) 464-4406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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