Provider Demographics
NPI:1982600623
Name:SANCHEZ, JOSE A (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9969 FREDERICKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4106
Mailing Address - Country:US
Mailing Address - Phone:210-690-2273
Mailing Address - Fax:210-581-8209
Practice Address - Street 1:9969 FREDERICKSBURG RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4106
Practice Address - Country:US
Practice Address - Phone:210-690-2273
Practice Address - Fax:210-581-8209
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2299207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0255401002OtherCIGNA POS
TX1060196-02Medicaid
0255401003OtherCIGNA HMO
2044091OtherAETNA
TX3384492OtherBLUE LINK
737809OtherHUMANAL GOLD
16167-0008OtherPACIFICARE
TX85273YOtherBCBS
384849OtherONE HEALTH
TXF84492Medicare UPIN
TX1060196-02Medicaid