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NPI Code Detail

MEDICARE: RUBEN ESEQUIEL SANCHEZ

MEDICARE: RUBEN ESEQUIEL 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
1225200000XPhysical Therapy Assistant2067700TX

General Provider Information

NPI Number : 1992288336
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBEN ESEQUIEL SANCHEZ
Provider Business Mailing Address
First Line : 17465 S WAGON WHEEL AVE
Second Line :
City : ODESSA
State : TX
Zip : 79766-1361
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 N COUNTY RD W
Second Line :
City : ODESSA
State : TX
Zip : 79763-3436
Country : US
Telephone Number : 432-332-0371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 09/12/2018

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Directions to “ RUBEN ESEQUIEL SANCHEZ ” Practice Location

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