Provider Demographics
NPI:1104086974
Name:SANCHEZ, DORA D (RN)
Entity type:Individual
Prefix:
First Name:DORA
Middle Name:D
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 SAN AGUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-3506
Mailing Address - Country:US
Mailing Address - Phone:956-334-1441
Mailing Address - Fax:956-753-2169
Practice Address - Street 1:2619 SAN AGUSTIN AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-3506
Practice Address - Country:US
Practice Address - Phone:956-334-1441
Practice Address - Fax:956-753-2169
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-14
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666697163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3-20365-8066-3OtherSTATE COMPTROLLER