Provider Demographics
NPI:1699968107
Name:SANCHEZ, STEVEN REY (PT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:REY
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 BRIARWOOD SUITE 204
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707
Mailing Address - Country:US
Mailing Address - Phone:432-889-3916
Mailing Address - Fax:
Practice Address - Street 1:5000 BRIARWOOD SUITE 204
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-6953
Practice Address - Country:US
Practice Address - Phone:432-889-3916
Practice Address - Fax:432-310-0620
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251X0800X
TX1175832225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J8511Medicare PIN