Healthcare Provider Details

I. General information

NPI: 1689501595
Provider Name (Legal Business Name): JOSE ANGEL SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 TRAWOOD DR
EL PASO TX
79935-3020
US

IV. Provider business mailing address

2280 TRAWOOD DR
EL PASO TX
79935-3020
US

V. Phone/Fax

Practice location:
  • Phone: 915-595-3535
  • Fax:
Mailing address:
  • Phone: 915-595-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2161815
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: