Provider Demographics
NPI:1386869394
Name:SAUNDERS, CAROL L (RN BSN RNFA)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:L
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:RN BSN RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BRIDGETON LANE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262
Mailing Address - Country:US
Mailing Address - Phone:817-797-3177
Mailing Address - Fax:817-431-8740
Practice Address - Street 1:1305 AIRPORT FWY
Practice Address - Street 2:STE 121
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021
Practice Address - Country:US
Practice Address - Phone:817-797-3177
Practice Address - Fax:817-431-8730
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX613675163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant