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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