Provider Demographics
NPI:1588892715
Name:CALDWELL, SANDRA K (MD)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:K
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2301 W PARKER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7877
Mailing Address - Country:US
Mailing Address - Phone:214-862-5581
Mailing Address - Fax:970-298-7522
Practice Address - Street 1:2600 ELDORADO PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7517
Practice Address - Country:US
Practice Address - Phone:972-427-3570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP3512OtherMD LICENSE