Individual
JUAN SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-3901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M2073
TX
207RP1001X
Pulmonary Disease Physician
Primary
M2073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1763427-04
—
TX
05
—
1763427-05
—
TX
05
—
1763427-06
—
TX
05
—
176342701
—
TX
Enumeration date
08/05/2006
Last updated
10/09/2020
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