| Sandy Harper Pc | |
|
2010 Sybil Ln Ste 100 Tyler TX 75703-1817 | |
| (903) 596-8118 | |
| Not Available |
| Full Name | Sandy Harper Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2010 Sybil Ln Ste 100, Tyler, Texas |
| Authorized Official Name and Position | Sandra Lou Harper (PRESIDENT) |
| Authorized Official Contact | 9035968118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Harper Pc 2010 Sybil Ln Ste 100 Tyler TX 75703-1817 Ph: (903) 596-8118 | Sandy Harper Pc 2010 Sybil Ln Ste 100 Tyler TX 75703-1817 Ph: (903) 596-8118 |
| NPI Number | 1477049252 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477049252 | NPI | - | NPPES |
| 24006 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 24006 (Texas) | Primary |
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