Provider Demographics
NPI:1205404316
Name:SANCHEZ, DIANA (FNP-C, APRN, DNP)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:FNP-C, APRN, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12139 STEVENS CT
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-4257
Mailing Address - Country:US
Mailing Address - Phone:210-531-6576
Mailing Address - Fax:
Practice Address - Street 1:9240 GUILBEAU RD STE 128
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-3091
Practice Address - Country:US
Practice Address - Phone:210-681-4685
Practice Address - Fax:210-681-6061
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1037180363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care