Provider Demographics
NPI:1821001124
Name:SANCHEZ, DEMETRIO ENRIQUE (CCC-A)
Entity Type:Individual
Prefix:DR
First Name:DEMETRIO
Middle Name:ENRIQUE
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5135 EDLOE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1101
Mailing Address - Country:US
Mailing Address - Phone:713-664-5050
Mailing Address - Fax:713-664-5006
Practice Address - Street 1:5135 EDLOE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1101
Practice Address - Country:US
Practice Address - Phone:713-664-5050
Practice Address - Fax:713-664-5006
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10018334Medicaid
TX10018334Medicaid