Healthcare Provider Details

I. General information

NPI: 1023337417
Provider Name (Legal Business Name): ERICK ROY SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8777 BLUEBONNET BLVD
BATON ROUGE LA
70810-2975
US

IV. Provider business mailing address

8777 BLUEBONNET BLVD
BATON ROUGE LA
70810-2975
US

V. Phone/Fax

Practice location:
  • Phone: 225-766-1899
  • Fax:
Mailing address:
  • Phone: 225-766-1899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number300030
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberBP10038007
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: