Provider Demographics
NPI:1740706829
Name:SANCHEZ LEON, KRISTY ANN
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:ANN
Last Name:SANCHEZ LEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 VALERA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5151
Mailing Address - Country:US
Mailing Address - Phone:623-693-2296
Mailing Address - Fax:
Practice Address - Street 1:14 VALERA RIDGE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5151
Practice Address - Country:US
Practice Address - Phone:623-693-2296
Practice Address - Fax:281-826-3125
Is Sole Proprietor?:No
Enumeration Date:2017-08-20
Last Update Date:2017-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134518363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health