MEDICARE: DR. MARLENE L 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	208M00000X	Hospitalist Physician	J4497	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8L8831	OTHER		WELLMED MEDICAL GROUP PA
2	350526YMVU	OTHER		WELLMED NETWORKS INC

General Provider Information

NPI Number	:	1629075338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARLENE L SANCHEZ MD

Provider Business Mailing Address
First Line	:	4330 MEDICAL DR
Second Line	:	STE 500
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3342
Country	:	US
Telephone Number	:	210-576-5306
Fax Number	:	210-694-0645

Provider Business Practice Location Address
First Line	:	4330 MEDICAL DR
Second Line	:	STE 500
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3342
Country	:	US
Telephone Number	:	210-576-5306
Fax Number	:	210-694-0645

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	09/16/2015

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