Provider Demographics
NPI:1780706945
Name:SANDATE, CESAR ISRAEL (DO, MPAS, MS, PA)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:ISRAEL
Last Name:SANDATE
Suffix:
Gender:M
Credentials:DO, MPAS, MS, PA
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Mailing Address - Street 1:1810 MURCHISON DR STE 300
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2906
Mailing Address - Country:US
Mailing Address - Phone:915-533-8544
Mailing Address - Fax:915-533-8207
Practice Address - Street 1:1810 MURCHISON DR STE 300
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2906
Practice Address - Country:US
Practice Address - Phone:915-533-8544
Practice Address - Fax:915-533-8207
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2024-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXT4841207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT4841OtherPHYSICIAN