Provider Demographics
NPI:1114946720
Name:SANGER, FRED STUART II (DC)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:STUART
Last Name:SANGER
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:FRED
Other - Middle Name:STUART
Other - Last Name:SANGER
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:118 W VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2259
Mailing Address - Country:US
Mailing Address - Phone:956-725-0184
Mailing Address - Fax:956-725-5565
Practice Address - Street 1:118 W. VILLAGE BLVD.
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045
Practice Address - Country:US
Practice Address - Phone:956-725-0184
Practice Address - Fax:956-725-5565
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor