Provider Demographics
NPI:1922615228
Name:SANCHEZ, GABRIELA ELIZABETH
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:ELIZABETH
Last Name:SANCHEZ
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 1:2900 BRUSH DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-4965
Mailing Address - Country:US
Mailing Address - Phone:956-684-5490
Mailing Address - Fax:
Practice Address - Street 1:1010 S AIRPORT DR STE B
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6650
Practice Address - Country:US
Practice Address - Phone:956-375-2045
Practice Address - Fax:956-375-2046
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121032225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist