Healthcare Provider Details

I. General information

NPI: 1396222857
Provider Name (Legal Business Name): MARCELINA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 07/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 HOOKS AVE
DONNA TX
78537-3341
US

IV. Provider business mailing address

PO BOX 423
ALAMO TX
78516-0423
US

V. Phone/Fax

Practice location:
  • Phone: 195-646-1660
  • Fax: 956-461-6602
Mailing address:
  • Phone: 956-867-3081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number37851
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: