Provider Demographics
NPI:1275780215
Name:SANCHEZ, HUGO B (MD)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:B
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 5TH AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-7303
Mailing Address - Country:US
Mailing Address - Phone:817-250-6575
Mailing Address - Fax:
Practice Address - Street 1:800 5TH AVE STE 300
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-7303
Practice Address - Country:US
Practice Address - Phone:817-250-6575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94514207X00000X
TXN0430207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CK571OtherBCBS
TX213717601Medicaid
TXP00929170OtherRAILROAD MEDICARE
TX213717601Medicaid