S4 Sand Pllc

S4 Sand Pllc is a healthcare organization registered as Surgical Physician Assistant in Roanoke, TX, holding Type 2 (organization) NPI 1679013536 since 2017. The authorized official on file is Stefanie Sanderson, Owner/Physician Assistant.

✓ Active NPI ✓ Valid NPI checksum

NPI	1679013536
Entity type	Organization (Type 2)
Legal business name	S4 Sand Pllc
Practice address	3909 YARBERRY CT, Roanoke, TX, 76262
Phone	8177332002
Enumeration date	2017-02-26
Last updated in NPPES	2017-02-26

Authorized official

Name	Stefanie Sanderson
Title	Owner/Physician Assistant
Phone	8177332002

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
363AS0400X	Surgical Physician Assistant	Primary	PA04819	TX

Copy-ready billing details

Provider: S4 Sand Pllc
NPI: 1679013536
Taxonomy: 363AS0400X (Surgical Physician Assistant)
Address: 3909 YARBERRY CT, Roanoke, TX, 76262

Verify this record

Cross-check NPI 1679013536 against the authoritative CMS record: view S4 Sand Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is S4 Sand Pllc located?

The practice location on file with NPPES is in Roanoke, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-02-26. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-02-26.