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NPI Code Detail

MEDICARE: JUSTIN ROY PACINA SANCHEZ DO, MS

MEDICARE: JUSTIN ROY PACINA SANCHEZ DO, MS
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
1207R00000XInternal Medicine PhysicianDO4010NV

General Provider Information

NPI Number : 1659020253
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN ROY PACINA SANCHEZ DO, MS
Provider Business Mailing Address
First Line : 713 E ANDERSON ST
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5705
Country : US
Telephone Number : 682-582-2922
Fax Number :
Provider Business Practice Location Address
First Line : 713 E ANDERSON ST
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5705
Country : US
Telephone Number : 682-582-2922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 12/08/2025

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