Provider Demographics
NPI:1700025756
Name:SANCHEZ, ADAM JAMES (RD)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JAMES
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 E LEGGETT RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3900
Mailing Address - Country:US
Mailing Address - Phone:956-244-3158
Mailing Address - Fax:
Practice Address - Street 1:1126 E LEGGETT RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3900
Practice Address - Country:US
Practice Address - Phone:956-244-3158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-16
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07222133NN1002X
TX931692133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education