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S4 SAND PLLC
NPI 1679013536
Physician Assistant - Surgical in Roanoke, TX

Active since February 26, 2017
3909 YARBERRY CT, ROANOKE, TX 76262(817) 733-2002 Get Directions Write a Review

NPPES record last updated: February 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About S4 Sand Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S4 SAND PLLC (NPI 1679013536) is a healthcare organization registered as a surgical in Roanoke, Texas and active in the NPI registry since February 2017. The organization lists Stefanie Sanderson, Owner/physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1679013536
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameS4 SAND PLLC
Location Address3909 YARBERRY CTRoanoke, TX 76262-3355
Mailing AddressPo Box 502Roanoke, TX 76262-0502 · (817) 733-2002
Phone(817) 733-2002
Organization SubpartNo
Authorized OfficialStefanie SandersonOwner/physician Assistant · (817) 733-2002
Enumeration DateFebruary 26, 2017
✔ NPI 1679013536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA04819
3909 YARBERRY CT, Roanoke, TX 76262
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S4 Sand PLLC's NPI number?

The NPI number for S4 Sand PLLC is 1679013536. It was assigned to this organization in the NPPES registry on February 26, 2017.

Where is S4 Sand PLLC located?

S4 Sand PLLC is located at 3909 Yarberry Ct, Roanoke, TX 76262. The listed phone number is (817) 733-2002.

What is S4 Sand PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for S4 Sand PLLC was last updated on February 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.