Healthcare Provider Details

I. General information

NPI: 1528152204
Provider Name (Legal Business Name): MIGUEL ANGEL SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 NOLANA STE 330
MCALLEN TX
78504
US

IV. Provider business mailing address

101 E RIDGE
MCALLEN TX
78502
US

V. Phone/Fax

Practice location:
  • Phone: 956-630-2225
  • Fax: 956-630-2275
Mailing address:
  • Phone: 956-632-6405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberK1919
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: