Provider Demographics
NPI:1760595201
Name:SANCHEZ, FERNANDO (M D)
Entity Type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:M D
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 451927
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0047
Mailing Address - Country:US
Mailing Address - Phone:956-267-6630
Mailing Address - Fax:956-552-6747
Practice Address - Street 1:2110 LOMAS DEL SUR STE 111
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-5755
Practice Address - Country:US
Practice Address - Phone:956-267-6630
Practice Address - Fax:956-552-6747
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK34492084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G47331Medicare UPIN