Provider Demographics
NPI:1700088168
Name:SANCHEZ, PAUL CHRISTOPHER (LCDC, CHW, CART)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:CHRISTOPHER
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:LCDC, CHW, CART
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15610 HENDERSON PASS UNIT 701604
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0877
Mailing Address - Country:US
Mailing Address - Phone:210-712-4371
Mailing Address - Fax:210-858-8898
Practice Address - Street 1:1633 18TH STREET
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404
Practice Address - Country:US
Practice Address - Phone:361-887-7070
Practice Address - Fax:361-888-9250
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10452101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)