Healthcare Provider Details

I. General information

NPI: 1730339920
Provider Name (Legal Business Name): JOSEPHINE JOAN SANCHEZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 NOLAN
SAN ANTONIO TX
78202-2153
US

IV. Provider business mailing address

2300 W COMMERCE ST STE 300
SAN ANTONIO TX
78207-3840
US

V. Phone/Fax

Practice location:
  • Phone: 210-229-9322
  • Fax: 210-227-5239
Mailing address:
  • Phone: 210-922-0103
  • Fax: 210-922-0162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number24673
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: