Luar Sandoval, PA-C

NPI #1821356114 in Fort Worth, Texas

Provider Information

NPI Number: 1821356114
Entity Type: Individual
Name: Luar Sandoval, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Military Outpatient Operational (Transportable) Component
Credential: PA-C
Enumeration Date: Apr 25, 2012
Last Updated: Aug 14, 2025

Practice Location

Address: 201 COMMERCE ST
City: Fort Worth
State: Texas
ZIP Code: 76102-7206
Phone: (682) 610-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military Outpatient Operational (Transportable) Component — Military Outpatient Operational (Transportable) Component	261QM1102X	Primary
Physician Assistant	363A00000X

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