Provider Demographics
NPI:1801837794
Name:CHRISTIAN F SANCHEZ, MD, PA
Entity Type:Organization
Organization Name:CHRISTIAN F SANCHEZ, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-288-9875
Mailing Address - Street 1:9221 LBJ FWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3452
Mailing Address - Country:US
Mailing Address - Phone:972-644-8577
Mailing Address - Fax:972-644-8056
Practice Address - Street 1:5604 ELLSWORTH AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5310
Practice Address - Country:US
Practice Address - Phone:214-288-9875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0022PCOtherBCBS
TX182407001Medicaid
TX182407002Medicaid
TX00W659Medicare PIN
TX00W720Medicare PIN
TX182407002Medicaid