MARK ALLEN SANDERS DO NPI 1770544389

NPI Information

NPI: 1770544389
Provider Name: MARK ALLEN SANDERS, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3437 W 7TH ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 688-1588
Get Directions

Mark Allen Sanders, DO is a family medicine in Fort Worth, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark Allen Sanders, DO NPI is 1770544389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3437 W 7TH ST
FORT WORTH, TX
ZIP 76107-718
Phone: (817) 688-1588
Fax: (817) 423-7361

The NPI 1770544389 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 3/31/2006 and was last updated on 6/24/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	K9653	TEXAS	No
2	207QH0002X	Family Medicine	Hospice and Palliative Medicine	K8653	TEXAS	No
3	209800000X	Legal Medicine		K9653	TEXAS	No
4	207Q00000X	Family Medicine		036.131054	ILLINOIS	No
5	207QG0300X	Family Medicine	Geriatric Medicine	036.131054	ILLINOIS	No
6	207QH0002X	Family Medicine	Hospice and Palliative Medicine	036.131054	ILLINOIS	No
7	209800000X	Legal Medicine		036.131054	ILLINOIS	No
8	207Q00000X	Family Medicine		K9653	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	151887001	MEDICAID	TEXAS
2	8B2215	OTHER	TEXAS	BCBS
3	8539B7	MEDICARE PIN	TEXAS
4	H64931	MEDICARE UPIN	TEXAS
5	151887003	MEDICAID	TEXAS
6	080186304	OTHER	TEXAS	RAILROAD MEDICARE PIN
7	151887004	MEDICAID	TEXAS
8	8L22128	MEDICARE PIN	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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