MEDICARE: GRACIELA H. SANCHEZ

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1649861204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACIELA H. SANCHEZ

Provider Business Mailing Address
First Line	:	15966 STONE CREEK LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-3642
Country	:	US
Telephone Number	:	214-334-4928
Fax Number	:	888-373-1936

Provider Business Practice Location Address
First Line	:	11625 CUSTER RD STE 110504
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-8783
Country	:	US
Telephone Number	:	214-334-4928
Fax Number	:	888-373-1936

Authorized Official
Title or Position	:	OWNER
Name	:	GRACIE SANCHEZ
Credential	:	RD
Telephone Number	:	214-945-3757

Provider Enumeration Date	:	01/27/2021
Last Update Date	:	07/24/2024

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