Healthcare Provider Details

I. General information

NPI: 1235016791
Provider Name (Legal Business Name): FABIOLA FRANCISCA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 S TELSHOR BLVD APT 5
LAS CRUCES NM
88011-4649
US

IV. Provider business mailing address

825 S TELSHOR BLVD APT 5
LAS CRUCES NM
88011-4649
US

V. Phone/Fax

Practice location:
  • Phone: 512-694-4119
  • Fax:
Mailing address:
  • Phone: 512-694-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: