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SANDRA GEORGE DO PA-C RD LD NPI 1073997789


NPI Information

NPI: 1073997789
Provider Name: SANDRA GEORGE, DO, PA-C, RD, LD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11130 CHRISTUS HILLS
MEDICAL PLAZA 3, 3RD FLOOR
SAN ANTONIO, TX
ZIP 78251
Phone: (210) 703-9001
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Sandra George, DO, PA-C, RD, LD is a student in an organized health care education training program in San Antonio, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Sandra George, DO, PA-C, RD, LD NPI is 1073997789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11130 CHRISTUS HILLS
MEDICAL PLAZA 3, 3RD FLOOR
SAN ANTONIO, TX
ZIP 78251-585
Phone: (210) 703-9001
Fax: (210) 703-9155

The NPI 1073997789 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 5/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredDT83790TEXASNo
2363A00000XPhysician AssistantPA10160TEXASNo
3363A00000XPhysician Assistant018749-1NEW YORKNo
4390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.