Provider Demographics
NPI:1134329048
Name:SANCHEZ, DAVID ALLEN (ABOC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 OAKWELL FARMS PKWY
Mailing Address - Street 2:STE 122
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-1777
Mailing Address - Country:US
Mailing Address - Phone:210-822-8300
Mailing Address - Fax:210-822-8374
Practice Address - Street 1:1919 OAKWELL FARMS PKWY
Practice Address - Street 2:STE 122
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-1777
Practice Address - Country:US
Practice Address - Phone:210-822-8300
Practice Address - Fax:210-822-8374
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1254530001Medicare PIN