Healthcare Provider Details

I. General information

NPI: 1578482477
Provider Name (Legal Business Name): TERESA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 N WASHINGTON AVE
MURFREESBORO AR
71958-8007
US

IV. Provider business mailing address

3004 PINE ST
ARKADELPHIA AR
71923-5325
US

V. Phone/Fax

Practice location:
  • Phone: 870-285-3699
  • Fax: 870-230-3771
Mailing address:
  • Phone: 870-230-8217
  • Fax: 870-230-8201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: