MEDICARE: SANDRA SANCHEZ PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1163066	TX

General Provider Information

NPI Number	:	1588404107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA SANCHEZ PMHNP-BC

Provider Business Mailing Address
First Line	:	1014 MISSISSIPPI RD
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-5757
Country	:	US
Telephone Number	:	956-500-6235
Fax Number	:	956-705-2005

Provider Business Practice Location Address
First Line	:	1409 S 9TH AVE STE 143
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-5549
Country	:	US
Telephone Number	:	956-777-0483
Fax Number	:	956-705-2005

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

Provider Enumeration Date	:	05/30/2024
Last Update Date	:	07/07/2025

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