| Doctor Name: | DR. JANE B SANDUSKY |
| NPI Number: | 1609955566 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | D4296 |
| Business Practice Address: | 777 E Wheatland Rd Duncanville, TX - 751164918 |
| Business Phone Number: | 9722969930 |
| Business Fax Number: | 9727091340 |
| Mailing Address: | 923 Green Rock Dr, DUNCANVILLE |
| State: | TX |
| Postal Code: | 751372918 |
| Phone Number: | 9727099627 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D4296 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |