Provider Demographics
NPI:1194491639
Name:SANCHEZ, JUAN CARLOS (CHPT)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:CARLOS
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:CHPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 RAYFORD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4343
Mailing Address - Country:US
Mailing Address - Phone:281-353-2420
Mailing Address - Fax:
Practice Address - Street 1:3540 RAYFORD RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4343
Practice Address - Country:US
Practice Address - Phone:281-353-2420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician