Provider Demographics
NPI:1699825505
Name:SANCHEZ, AGUSTIN FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:AGUSTIN
Middle Name:FRANCISCO
Last Name:SANCHEZ
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 1:1776 WOODSTEAD CT
Mailing Address - Street 2:STE 208
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1480
Mailing Address - Country:US
Mailing Address - Phone:718-424-9182
Mailing Address - Fax:718-335-7108
Practice Address - Street 1:7702 30TH AVE
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1504
Practice Address - Country:US
Practice Address - Phone:718-424-9182
Practice Address - Fax:718-335-7108
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6912208100000X
NY173976225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY173976OtherPHYSICIAN LICENCE
NYC06910Medicare UPIN
NY02802AMedicare ID - Type Unspecified