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NPI Code Detail

MEDICARE: JESSICA SANCHEZ

MEDICARE: JESSICA SANCHEZ
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
1106S00000XBehavior TechnicianRBT-16-27231TX

General Provider Information

NPI Number : 1821573122
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SANCHEZ
Provider Business Mailing Address
First Line : 7608 NARROW PASS ST
Second Line :
City : LIVE OAK
State : TX
Zip : 78233-3019
Country : US
Telephone Number : 210-714-3545
Fax Number :
Provider Business Practice Location Address
First Line : 7608 NARROW PASS ST
Second Line :
City : LIVE OAK
State : TX
Zip : 78233-3019
Country : US
Telephone Number : 210-714-3545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2018
Last Update Date : 10/02/2018

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Directions to “ JESSICA SANCHEZ ” Practice Location

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