Provider Demographics
NPI:1659534568
Name:TEMPLETON, SANDRA FINK (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:FINK
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:CLOUGH
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16605 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3501
Mailing Address - Country:US
Mailing Address - Phone:281-494-3000
Mailing Address - Fax:281-494-3010
Practice Address - Street 1:16605 SOUTHWEST FWY
Practice Address - Street 2:SUITE 220
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3501
Practice Address - Country:US
Practice Address - Phone:281-494-3000
Practice Address - Fax:281-494-3010
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1574208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145863004Medicaid
TX8GL802OtherBCBS
H44455Medicare UPIN