SANDRA E CUELLAR DPM , P.C.
Podiatry at Forest Ln, Dallas, TX

License number
Texas 1055
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. SANDRA E CUELLAR DPM
Title: PRESIDENT
Phone: (972) 991-1700
Address
Address
5925 Forest Ln #116, Dallas, TX 75230
National Provider ID: 1104098433
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SANDRA E. CUELLAR, D.P.M., PC

5925 Frst Ln STE 116, Dallas, TX 75230

Doing business as:
Park Cities Foot Center<br>Sandra E. Cuellar, D.P.M., PC
Registration:
Jan 24, 1990
State ID:
0091474902
Business type:
Domestic Professional Corporation
PRESIDENT, President, Director:
Sandra E Cuellar (PRESIDENT, President, Director), 5925 Frst Ln STE 116, Dallas, TX 75230
Agent:
Sandra E. Cuellar,5925 Frst Ln SUITE 116, Dallas, TX 75230 (Physical)
TIN:
30113896978

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