| Paul Sanner Md Pa | |
|
815 E Royall Blvd Ste 3 Malakoff TX 75148-9255 | |
| (903) 489-0101 | |
| (903) 489-9136 |
| Full Name | Paul Sanner Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 815 E Royall Blvd Ste 3, Malakoff, Texas |
| Authorized Official Name and Position | David Paul Sanner (OWNER) |
| Authorized Official Contact | 9034890101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Sanner Md Pa 815 E Royall Blvd Ste 3 Malakoff TX 75148-9255 Ph: (903) 489-0101 | Paul Sanner Md Pa 815 E Royall Blvd Ste 3 Malakoff TX 75148-9255 Ph: (903) 489-0101 |
| NPI Number | 1972898153 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972898153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E6603 (Texas) | Primary |