Provider Demographics
NPI:1033131222
Name:SANCHEZ, EDUARDO M (MS,RN, CPNP)
Entity Type:Individual
Prefix:MR
First Name:EDUARDO
Middle Name:M
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MS,RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:102 BABCOCK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-3952
Mailing Address - Country:US
Mailing Address - Phone:210-572-1430
Mailing Address - Fax:210-572-1434
Practice Address - Street 1:102 BABCOCK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3952
Practice Address - Country:US
Practice Address - Phone:210-572-1430
Practice Address - Fax:210-572-1434
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX630314363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150987902Medicaid
TX163688801Medicaid
TX163688802Medicaid
TX150987901Medicaid
TX163688802Medicaid