Provider Demographics
NPI:1639160526
Name:SANCHEZ-LEAL, HENRY RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:RICHARD
Last Name:SANCHEZ-LEAL
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:PO BOX 3626
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-0626
Mailing Address - Country:US
Mailing Address - Phone:940-782-1611
Mailing Address - Fax:940-322-3235
Practice Address - Street 1:1600 11TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4300
Practice Address - Country:US
Practice Address - Phone:940-782-1611
Practice Address - Fax:940-322-3235
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG00522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139669911Medicaid
8F7367Medicare PIN