Provider Demographics
NPI:1558330084
Name:POWERS, SANDRA M (DC)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:M
Last Name:POWERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 PUEBLO LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1222
Mailing Address - Country:US
Mailing Address - Phone:831-251-0006
Mailing Address - Fax:888-358-8913
Practice Address - Street 1:2710 N JOSEY LN
Practice Address - Street 2:SUITE 301
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5400
Practice Address - Country:US
Practice Address - Phone:214-483-3550
Practice Address - Fax:888-358-8913
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10095111N00000X
CA29237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor