Healthcare Provider Details

I. General information

NPI: 1578235479
Provider Name (Legal Business Name): CESAR ALAN SANCHEZ-ALLENDE AG-ACNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CESAR ALAN SANCHEZ RN

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4305 N MESA ST
EL PASO TX
79902-1123
US

IV. Provider business mailing address

361 EMERALD LAKE PL
HORIZON CITY TX
79928-2529
US

V. Phone/Fax

Practice location:
  • Phone: 915-532-2477
  • Fax:
Mailing address:
  • Phone: 915-258-8756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1055329
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: