Provider Demographics
NPI:1619088226
Name:SANCHEZ, JESUS EDUARDO (BSW, LBSW)
Entity Type:Individual
Prefix:MR
First Name:JESUS
Middle Name:EDUARDO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:BSW, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 S 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7205
Mailing Address - Country:US
Mailing Address - Phone:956-383-6221
Mailing Address - Fax:956-383-8864
Practice Address - Street 1:1304 S 25TH AVE
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7205
Practice Address - Country:US
Practice Address - Phone:956-383-6221
Practice Address - Fax:956-383-8864
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS17471251B00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered171M00000XOther Service ProvidersCase Manager/Care Coordinator