Provider Demographics
NPI:1699863845
Name:SANDLER, RONALD DAVID (DPM)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:DAVID
Last Name:SANDLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6021 FAIRMONT PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-4022
Mailing Address - Country:US
Mailing Address - Phone:281-991-0600
Mailing Address - Fax:281-991-0638
Practice Address - Street 1:6021 FAIRMONT PKWY
Practice Address - Street 2:STE 130
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-4022
Practice Address - Country:US
Practice Address - Phone:281-991-0600
Practice Address - Fax:281-991-0638
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0461213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE0077326OtherDPS
TXBS1169348OtherDEA
TX00G37PMedicare ID - Type Unspecified
TXT91930Medicare UPIN