Provider Demographics
NPI:1649861204
Name:GRACIELA H. SANCHEZ
Entity type:Organization
Organization Name:GRACIELA H. SANCHEZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:214-945-3757
Mailing Address - Street 1:15966 STONE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-3642
Mailing Address - Country:US
Mailing Address - Phone:214-334-4928
Mailing Address - Fax:888-373-1936
Practice Address - Street 1:11625 CUSTER RD STE 110504
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8783
Practice Address - Country:US
Practice Address - Phone:214-334-4928
Practice Address - Fax:888-373-1936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty