Provider Demographics
NPI:1740728781
Name:SANCHEZ, GISELA (MED)
Entity type:Individual
Prefix:
First Name:GISELA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 RASOR BLVD
Mailing Address - Street 2:SUITE 293
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0116
Mailing Address - Country:US
Mailing Address - Phone:940-382-0109
Mailing Address - Fax:
Practice Address - Street 1:8105 RASOR BLVD
Practice Address - Street 2:SUITE 293
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0116
Practice Address - Country:US
Practice Address - Phone:940-382-0109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77003101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor