Provider Demographics
NPI:1063047157
Name:SANCHEZ, DORA EMILSEN
Entity type:Individual
Prefix:
First Name:DORA
Middle Name:EMILSEN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19606 PARK ROW APT 215
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6010
Mailing Address - Country:US
Mailing Address - Phone:832-759-9386
Mailing Address - Fax:
Practice Address - Street 1:633 E FERNHUST DR
Practice Address - Street 2:UNIT 604
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1589
Practice Address - Country:US
Practice Address - Phone:832-980-7061
Practice Address - Fax:832-644-0127
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41436235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist