=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235235409
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARLENE Y SANCHEZ MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2006
-----------------------------------------------------
Last Update Date | 05/19/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2123 JACKSON CRK AVE
-----------------------------------------------------
City | EDINBURG
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78539-1726
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-381-4888
-----------------------------------------------------
Fax | 956-381-8244
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2123 JACKSON CRK AVENUE
-----------------------------------------------------
City | EDINBURG
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78539-1726
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-381-4888
-----------------------------------------------------
Fax | 956-381-8244
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | K6290
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------