Provider Demographics
NPI:1669225249
Name:SANCHEZ, TAMBRA A (CPM, LM)
Entity type:Individual
Prefix:
First Name:TAMBRA
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LIVING WAY LN
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-1839
Mailing Address - Country:US
Mailing Address - Phone:806-335-5526
Mailing Address - Fax:
Practice Address - Street 1:27 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4170
Practice Address - Country:US
Practice Address - Phone:806-418-1862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99553176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife