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Individual
DR. TEOFILO RESENDIZ SANCHEZ III
Active
Individual
DR. TEOFILO RESENDIZ SANCHEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#8DJ151
BCBS HMO/PPO PROVIDER ID
TX
01
—
00U72Z
GROUP PTAN
TX
05
—
1846859-09
—
TX
01
—
8K4496
INDIVIDUAL PTAN
TX
01
—
T0150108
TEXAS CONTROLLED SUBSTANCE
TX
Enumeration date
09/28/2006
Last updated
03/07/2023
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