Individual
REBECCA ANNETTE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5615 DEAUVILLE STE 240, MIDLAND, TX 79706-2709
(432) 221-5560
(432) 580-5899
Mailing address
5615 DEAUVILLE STE 240, MIDLAND, TX 79706-2709
(432) 221-5560
(817) 299-1706
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12118357
CAQH
—
01
—
PA06608
STATE LICENSE
TX
Enumeration date
03/02/2010
Last updated
09/08/2020
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