MEDICARE: JOHN MICHAEL SANCHEZ MD

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
1	207Q00000X	Family Medicine Physician	HO784	TX

General Provider Information

NPI Number	:	1578605648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MICHAEL SANCHEZ MD

Provider Business Mailing Address
First Line	:	150 SABINE NUMBER 124
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007
Country	:	US
Telephone Number	:	832-689-1267
Fax Number	:

Provider Business Practice Location Address
First Line	:	10909 I-10 EAST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-2516
Country	:	US
Telephone Number	:	713-797-0991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

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