Provider Demographics
NPI:1609577402
Name:ADRYAN SANCHEZ CHIO
Entity Type:Organization
Organization Name:ADRYAN SANCHEZ CHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ CHIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-349-6409
Mailing Address - Street 1:2203 N RAUL LONGORIA RD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589
Mailing Address - Country:US
Mailing Address - Phone:956-375-5659
Mailing Address - Fax:
Practice Address - Street 1:REYNOSA 115 14B
Practice Address - Street 2:COL CENTRO
Practice Address - City:NUEVO PROGRESO
Practice Address - State:TAMAULIPAS
Practice Address - Zip Code:88810
Practice Address - Country:MX
Practice Address - Phone:956-375-5659
Practice Address - Fax:619-349-6409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty