Provider Demographics
NPI:1235235409
Name:SANCHEZ, ARLENE Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:Y
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2123 JACKSON CRK AVENUE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-1726
Mailing Address - Country:US
Mailing Address - Phone:956-381-4888
Mailing Address - Fax:956-381-8244
Practice Address - Street 1:2123 JACKSON CRK AVE
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1726
Practice Address - Country:US
Practice Address - Phone:956-381-4888
Practice Address - Fax:956-381-8244
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6290208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044422603OtherMEDICAID EPSDT
TX412059301OtherTAX ID
TX044422602Medicaid
TX0071JJOtherBLUECROSS BLUESHIELD
TX7295208OtherAETNA
TXG89446Medicare UPIN