Organization
FERNANDO SANCHEZ CLINICAL NEUROPHYSIOLOGY CENTER PA
Active
Organization
FERNANDO SANCHEZ CLINICAL NEUROPHYSIOLOGY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO SANCHEZ MD (PRESIDENT)
(956) 267-6630
Entity
Organization
Contact information
Practice address
2110 LOMAS DEL SUR STE 111, LAREDO, TX 78046-5755
(956) 267-6630
(956) 552-6747
Mailing address
PO BOX 451927, LAREDO, TX 78045-0047
(956) 267-6630
(956) 552-6747
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K3449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00463T
MEDICARE PTAN
—
05
—
102580103
—
TX
Enumeration date
07/02/2015
Last updated
04/05/2021
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