NPI age
20 years
Enumerated 2005-06-09
● Active
Type 1 · Individual
Stefanie N Sanderson, PA-C
Sanderson is 1 of 7 physician assistant providers in Southlake and 1 of 1890 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1890 active physician assistant providers in Texas.
NPI age
20 years
↑ 9 yr above median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
1545 E Southlake Blvd, Suite 100
Southlake, TX 760926422
Mailing address
Po Box 502
Roanoke, TX 762620502
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.