Most Relevant Information
Provider Data
| NPI Number: | 1003178013 |
| Provider Name: | ERIC SANDOVAL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | RS2012-0466 |
Most Important Dates
| Enumeration Date: | 06/14/2012 |
| Last Updated: | 05/24/2016 |
Provider Practice Location
1111 SOUTH ST.LOUIS AVE
TULSA
OK
741205440
Practice Location Phone/Fax
| Phone: | 9186193395 |
| Fax: |
Provider Mailing Location
2450 S TELSHOR BLVD
LAS CRUCES
NM
880115069
Provider Mailing Phone/Fax
| Phone: | 5755215385 |
| Fax: |
Suggested EMR
Family Practice EMR