Provider Demographics
NPI:1154764553
Name:SANCHEZ, JOSHUA ELI (CSFA)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ELI
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 MYATT LN
Mailing Address - Street 2:
Mailing Address - City:EL CAMPO
Mailing Address - State:TX
Mailing Address - Zip Code:77437-2019
Mailing Address - Country:US
Mailing Address - Phone:281-748-4478
Mailing Address - Fax:
Practice Address - Street 1:2901 MYATT LN
Practice Address - Street 2:
Practice Address - City:EL CAMPO
Practice Address - State:TX
Practice Address - Zip Code:77437-2019
Practice Address - Country:US
Practice Address - Phone:281-748-4478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX140007246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant