Provider Demographics
NPI:1508876665
Name:MARIO A SANCHEZ DO
Entity Type:Organization
Organization Name:MARIO A SANCHEZ DO
Other - Org Name:NEIGHBORHOOD DOCTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:956-689-2493
Mailing Address - Street 1:525 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-2508
Mailing Address - Country:US
Mailing Address - Phone:956-689-2493
Mailing Address - Fax:956-689-5090
Practice Address - Street 1:525 S 10TH ST
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-2508
Practice Address - Country:US
Practice Address - Phone:956-689-2493
Practice Address - Fax:956-689-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84750NOtherBCBS
TX092320302OtherEPSDT
TXH6573OtherSTATE LICENSE
TX092320301Medicaid
TX123196100OtherVALLEY HEALTH PLAN
TX123196100OtherVALLEY HEALTH PLAN
TXH6573OtherSTATE LICENSE
TX092320301Medicaid