Eric Sandoval MD
Family Medicine Physician in Tulsa, OK(View on Map)
Full Name
Eric Sandoval MD
NPI Number
1003178013
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/14/2012
Specialties
(Taxonomies)Code
207Q00000X
207QS0010X
Primary Taxonomy
Yes
No
Licenses
State
New Mexico
New Mexico
Oklahoma
License Number
MD2014-0755
RS2012-0466
32151
Contact
Information
Purpose
Mailing
Location
Address
2450 S TELSHOR BLVD
1111 SOUTH ST.LOUIS AVE
City
Las Cruces
Tulsa
State
NM
OK
Postal Code
88011-5069
74120-5440
Country
US
US
Telephone Number
(575) 521-5385
(918) 619-3395
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/24/2016