Provider Demographics
NPI:1073324695
Name:SANCHEZ CANO, JULIAN EMMANUEL
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:EMMANUEL
Last Name:SANCHEZ CANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 SAN SABA ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7460
Mailing Address - Country:US
Mailing Address - Phone:956-558-0122
Mailing Address - Fax:
Practice Address - Street 1:3805 PLANTATION GROVE BLVD STE B6
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-7038
Practice Address - Country:US
Practice Address - Phone:956-558-0122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No171400000XOther Service ProvidersHealth & Wellness Coach