1598906711 NPI number — BENNY J. SANCHEZ, M.D. & ASSOCIATES

Table of content: (NPI 1598906711)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598906711 NPI number — BENNY J. SANCHEZ, M.D. & ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BENNY J. SANCHEZ, M.D. & ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1598906711
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2497
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDAR HILL
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75106-2497
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-697-6884
Provider Business Mailing Address Fax Number:
713-699-3705

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2200 NORTH LOOP W
Provider Second Line Business Practice Location Address:
#102
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77018-8009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-697-6884
Provider Business Practice Location Address Fax Number:
713-699-3705
Provider Enumeration Date:
03/18/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SANCHEZ
Authorized Official First Name:
BENNY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
713-697-6884

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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