Provider Demographics
NPI:1811740285
Name:SANCHEZ, JULIO DANIEL (PTA)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:DANIEL
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24300 FRANZ RD APT 3111
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5858
Mailing Address - Country:US
Mailing Address - Phone:912-509-6496
Mailing Address - Fax:
Practice Address - Street 1:24300 FRANZ RD APT 3111
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-5858
Practice Address - Country:US
Practice Address - Phone:912-509-6496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2169083225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant