LUAR SANDOVAL

FORT WORTH, TX
NPI1821356114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA17558)
Additional Taxonomies261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component
(Licence: FL  PA9116542)
363A00000X Physician Assistant
(Licence: FL  PA9116542)
Enumeration Date2012-04-25
Last Update Date2025-08-14
Business Address
LUAR SANDOVAL PA-C
201 COMMERCE ST
FORT WORTH, TX 76102-7206
Phone number: 682-610-7900
Mailing Address
LUAR SANDOVAL PA-C
700 N PEARL ST STE N510
DALLAS, TX 75201-2863
Phone number: 214-580-7277