Provider Demographics
NPI:1164803458
Name:MANUEL J. SANCHEZ, MDPA
Entity Type:Organization
Organization Name:MANUEL J. SANCHEZ, MDPA
Other - Org Name:KNEE PAIN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-668-0044
Mailing Address - Street 1:501 N WARE RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8055
Mailing Address - Country:US
Mailing Address - Phone:956-668-0044
Mailing Address - Fax:956-687-9747
Practice Address - Street 1:110 A UPTOWN AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7563
Practice Address - Country:US
Practice Address - Phone:956-350-5633
Practice Address - Fax:956-541-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-12
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2899335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier