1235235409 NPI number — DR. ARLENE Y SANCHEZ MD

Table of content: DR. ARLENE Y SANCHEZ MD (NPI 1235235409)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235235409 NPI number — DR. ARLENE Y SANCHEZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANCHEZ
Provider First Name:
ARLENE
Provider Middle Name:
Y
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235235409
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2123 JACKSON CRK AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDINBURG
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78539-1726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-381-4888
Provider Business Mailing Address Fax Number:
956-381-8244

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2123 JACKSON CRK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78539-1726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-381-4888
Provider Business Practice Location Address Fax Number:
956-381-8244
Provider Enumeration Date:
09/15/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  K6290 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 044422603 . This is a "MEDICAID EPSDT" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 412059301 . This is a "TAX ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 044422602 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0071JJ . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7295208 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".