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NPI Code Detail

MEDICARE: CELSO SANCHEZ IV

MEDICARE: CELSO SANCHEZ IV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician101413TX

General Provider Information

NPI Number : 1043809379
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELSO SANCHEZ IV
Provider Business Mailing Address
First Line : 1911 BOB BULLOCK LOOP
Second Line :
City : LAREDO
State : TX
Zip : 78043-9771
Country : US
Telephone Number : 956-764-5050
Fax Number : 956-764-5081
Provider Business Practice Location Address
First Line : 1911 NE BOB BULLOCK LOOP
Second Line :
City : LAREDO
State : TX
Zip : 78045-6596
Country : US
Telephone Number : 956-764-5050
Fax Number : 956-764-5081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2021
Last Update Date : 01/12/2021

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Directions to “ CELSO SANCHEZ IV ” Practice Location

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