MEDICARE: MONICA SANCHEZ RD

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	133V00000X	Registered Dietitian	DT88711	TX

General Provider Information

NPI Number	:	1962182196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA SANCHEZ RD

Provider Business Mailing Address
First Line	:	211 E 7TH ST STE 700
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-3218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 SOUTHMORE AVE STE 328
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77502-1135
Country	:	US
Telephone Number	:	346-639-3500
Fax Number	:

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

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	07/21/2023

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