Healthcare Provider Details

I. General information

NPI: 1205850351
Provider Name (Legal Business Name): JESUS V SANCHEZ JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 S HOUGHTON RD
TUCSON AZ
85748-7632
US

IV. Provider business mailing address

4455 S PADRE ISLAND DR STE 11
CORPUS CHRISTI TX
78411-5163
US

V. Phone/Fax

Practice location:
  • Phone: 520-543-6100
  • Fax:
Mailing address:
  • Phone: 361-883-6211
  • Fax: 361-882-4891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberL9886
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number75384
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: