Provider Demographics
NPI:1437415031
Name:SANGHA, DENISSE MENENDEZ (MD)
Entity Type:Individual
Prefix:
First Name:DENISSE
Middle Name:MENENDEZ
Last Name:SANGHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DENISSE
Other - Middle Name:MENENDEZ
Other - Last Name:MONTERROSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:479 OXFORD DR STE 104
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7423
Mailing Address - Country:US
Mailing Address - Phone:830-214-0300
Mailing Address - Fax:830-214-0397
Practice Address - Street 1:479 OXFORD DR STE 104
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7423
Practice Address - Country:US
Practice Address - Phone:830-214-0300
Practice Address - Fax:830-214-0397
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR8661207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX392428401Medicaid
TX8KI750OtherBCBS TX
TX750349OtherMEDICARE