Provider Demographics
NPI:1770578478
Name:GARRED, SANDRA M (MD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:M
Last Name:GARRED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:575 HILL COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-6024
Mailing Address - Country:US
Mailing Address - Phone:830-258-7762
Mailing Address - Fax:830-258-7098
Practice Address - Street 1:1331 BANDERA HWY STE 2
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-9535
Practice Address - Country:US
Practice Address - Phone:830-258-7090
Practice Address - Fax:830-258-7098
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2022-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP7918207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HO2976Medicare UPIN
TX315662YL21Medicare PIN