Healthcare Provider Details

I. General information

NPI: 1518942226
Provider Name (Legal Business Name): JAVIER ENRIQUE SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 04/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 BEE CAVES RD., BLDG. J, SUITE 201
AUSTIN TX
78746
US

IV. Provider business mailing address

3000 N. IH-35, SUITE 700
AUSTIN TX
78705
US

V. Phone/Fax

Practice location:
  • Phone: 512-381-0170
  • Fax: 512-381-0171
Mailing address:
  • Phone: 512-807-3150
  • Fax: 512-458-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberJ8755
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberJ8755
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: