Healthcare Provider Details

I. General information

NPI: 1902096365
Provider Name (Legal Business Name): VICENTE SANCHEZ, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 03/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E HOUSTON ST SUITE A
BEEVILLE TX
78102-5313
US

IV. Provider business mailing address

1600 E HOUSTON ST SUITE A
BEEVILLE TX
78102-5313
US

V. Phone/Fax

Practice location:
  • Phone: 361-358-9200
  • Fax: 361-362-1671
Mailing address:
  • Phone: 361-358-9200
  • Fax: 361-362-1671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VICENTE SANCHEZ
Title or Position: SELF PROPRIETOR
Credential: M.D.
Phone: 361-358-9200