Healthcare Provider Details

I. General information

NPI: 1346544434
Provider Name (Legal Business Name): DAVID O SANCHEZ CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2011
Last Update Date: 01/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5415 S MCCOLL RD
EDINBURG TX
78539-9183
US

IV. Provider business mailing address

PO BOX 3449
MCALLEN TX
78502-3449
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-0529
  • Fax: 956-618-4639
Mailing address:
  • Phone: 956-661-0529
  • Fax: 956-618-4639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number675416
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: