MEDICARE: ROSA A SANCHEZ RNFA

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	163WR0006X	Registered Nurse First Assistant	646580	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00U87Z	OTHER	TX	BCBSTX GRP PIN
2	1750369203	OTHER		GRP NPI NUMBER
3	9430648	OTHER	TX	PHCS PIN
4	8N8075	OTHER	TX	BCBSTX IND PIN
5	7250251	OTHER	TX	AETNA PIN
6	2244715	OTHER	TX	UHC PIN

General Provider Information

NPI Number	:	1942345301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA A SANCHEZ RNFA

Provider Business Mailing Address
First Line	:	801 7TH AVE
Second Line	:	REVENUE MANAGEMENT
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2733
Country	:	US
Telephone Number	:	682-885-4157
Fax Number	:	682-885-1903

Provider Business Practice Location Address
First Line	:	901 7TH AVE
Second Line	:	STE 120
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2722
Country	:	US
Telephone Number	:	682-885-2500
Fax Number	:	682-885-2510

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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Directions to “ ROSA A SANCHEZ RNFA” Practice Location

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