Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 630314 | TX |
NPI | 1033131222 |
---|---|
Provider Name | Mr. Eduardo M Sanchez |
First Address | San Antonio, TX 78201-3952 |
Second Address | San Antonio, TX 78201-3952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 22/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
150987901 | (05) | TX |
150987902 | (05) | TX |
163688801 | (05) | TX |
163688802 | (05) | TX |
Q09748 | (02) | TX |