Individual
ROSALIO SANCHEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12681733
CAQH
TX
01
—
84BB85
BCBS
TX
01
—
SA00546
LSA LICENSE
TX
Enumeration date
08/29/2012
Last updated
02/01/2018
Update your record
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