Individual
MR. DEREK EDWARD SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
790 ROY RICHARD DR STE E, SCHERTZ, TX 78154-2039
(210) 659-4333
(210) 659-0809
Mailing address
4721 GREEN BLUFF DR, SCHERTZ, TX 78154-3043
(210) 269-3627
(210) 659-0809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1163910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB138300
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
12/06/2006
Last updated
01/10/2012
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