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NPI Code Detail

MEDICARE: DR. JUAN MANUEL SANCHEZ D.C.

MEDICARE: DR. JUAN MANUEL SANCHEZ D.C.
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
1111N00000XChiropractor5480TX

General Provider Information

NPI Number : 1417339672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN MANUEL SANCHEZ D.C.
Provider Business Mailing Address
First Line : 1514 TATUM DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-2330
Country : US
Telephone Number : 214-924-8605
Fax Number :
Provider Business Practice Location Address
First Line : 4441 BRYANT IRVIN RD N
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7338
Country : US
Telephone Number : 817-731-9400
Fax Number : 817-731-4282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2015
Last Update Date : 06/24/2015

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