MEDICARE: VICENTE SANCHEZ, M.D., P.A.

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1902096365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICENTE SANCHEZ, M.D., P.A.

Provider Business Mailing Address
First Line	:	1600 E HOUSTON ST
Second Line	:	SUITE A
City	:	BEEVILLE
State	:	TX
Zip	:	78102-5313
Country	:	US
Telephone Number	:	361-358-9200
Fax Number	:	361-362-1671

Provider Business Practice Location Address
First Line	:	1600 E HOUSTON ST
Second Line	:	SUITE A
City	:	BEEVILLE
State	:	TX
Zip	:	78102-5313
Country	:	US
Telephone Number	:	361-358-9200
Fax Number	:	361-362-1671

Authorized Official
Title or Position	:	SELF PROPRIETOR
Name	:	DR. VICENTE SANCHEZ
Credential	:	M.D.
Telephone Number	:	361-358-9200

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	03/25/2015

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