Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A94514 | CA |
Y | 207X00000X | Orthopaedic Surgeon | N0430 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | N0430 | TX |
NPI | 1275780215 |
---|---|
Provider Name | Hugo B Sanchez |
First Address | Fort Worth, TX 76104-7303 |
Second Address | Fort Worth, TX 76104-7303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2008 |
Last Update Date | 23/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
213717601 | (05) | TX |
8CK571 | BCBS (01) | TX |
P00929170 | RAILROAD MEDICARE (01) | TX |