Provider Demographics
NPI:1265183966
Name:SANCHEZ, DIEGO
Entity type:Individual
Prefix:
First Name:DIEGO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DIEGO
Other - Middle Name:A
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT-C
Mailing Address - Street 1:13009 THOME VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:DEL VALLE
Mailing Address - State:TX
Mailing Address - Zip Code:78617-3489
Mailing Address - Country:US
Mailing Address - Phone:512-919-0390
Mailing Address - Fax:
Practice Address - Street 1:13009 THOME VALLEY DR
Practice Address - Street 2:
Practice Address - City:DEL VALLE
Practice Address - State:TX
Practice Address - Zip Code:78617-3489
Practice Address - Country:US
Practice Address - Phone:512-919-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic AssistantGroup - Single Specialty