Provider Demographics
NPI:1023143872
Name:BARRY SANDERS M.D. AND ASSOCIATESS
Entity type:Organization
Organization Name:BARRY SANDERS M.D. AND ASSOCIATESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-420-8800
Mailing Address - Street 1:560 W MAIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3629
Mailing Address - Country:US
Mailing Address - Phone:972-420-8800
Mailing Address - Fax:972-420-8888
Practice Address - Street 1:560 W MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3629
Practice Address - Country:US
Practice Address - Phone:972-420-8800
Practice Address - Fax:972-420-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2434207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty