Provider Demographics
NPI:1881807535
Name:SANCHEZ, REYNALDO CARLOS (MD)
Entity type:Individual
Prefix:DR
First Name:REYNALDO
Middle Name:CARLOS
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5952 ROYAL LN STE 120
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7847
Mailing Address - Country:US
Mailing Address - Phone:214-691-7546
Mailing Address - Fax:214-234-0053
Practice Address - Street 1:5952 ROYAL LN STE 120
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7847
Practice Address - Country:US
Practice Address - Phone:214-691-7546
Practice Address - Fax:214-234-0053
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2838174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX751774966OtherTAX ID
TX751774966OtherTAX ID