MEDICARE: DR. VANESSA LYNN SANCHEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	0101270989	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0101270989	OTHER	VA	NA

General Provider Information

NPI Number	:	1275197329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VANESSA LYNN SANCHEZ MD

Provider Business Mailing Address
First Line	:	3100 SCHOFIELD RD
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-7577
Country	:	US
Telephone Number	:	210-808-2341
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 SCHOFIELD RD
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-7577
Country	:	US
Telephone Number	:	210-808-2341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2019
Last Update Date	:	07/01/2025

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