Provider Demographics
NPI:1598073686
Name:SANDERS, JOSHUA STEPHEN (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:STEPHEN
Last Name:SANDERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N CAPITAL OF TEXAS HWY
Mailing Address - Street 2:BUILDING A - SUITE 160
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3314
Mailing Address - Country:US
Mailing Address - Phone:512-334-9648
Mailing Address - Fax:512-373-3083
Practice Address - Street 1:3600 N CAPITAL OF TEXAS HWY
Practice Address - Street 2:BUILDING A - SUITE 160
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-3314
Practice Address - Country:US
Practice Address - Phone:512-334-9648
Practice Address - Fax:512-373-3083
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor