Organization Name: | MARIO A. SANCHEZ, D.O.P.A. |
NPI Number: | 1558572511 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIO A SANCHEZ (OWNER) |
Mailing Address: | 106 N Main St La Feria |
State: | TX US |
Postal Code: | 785595003 |
Phone Number: | 9567972002 |
Fax Number: | 9567973361 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H6573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |