Active NPI
Fernando Sanchez Clinical Neurophysiology Center PA
- Neurology Physician
- Laredo, TX
National Provider Identifier
1710360128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- K3449
- Legal business name
- FERNANDO SANCHEZ CLINICAL NEUROPHYSIOLOGY CENTER PA
- Practice address
- 2110 Lomas del Sur Ste 111
Laredo, TX 78046-5755 - Phone
- (956) 267-6630
- Fax
- (956) 552-6747
- NPI assigned
- Jul 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fernando Sanchez, MD
- Title
- President
- Phone
- (956) 267-6630
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | K3449 | TX | Primary |
Addresses
Primary practice location
2110 Lomas del Sur Ste 111
Laredo, TX 78046-5755
Mailing address
PO Box 451927
Laredo, TX 78045-0047
Phone (956) 267-6630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00463T | Other | MEDICARE PTAN | |
| 102580103 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5711 McPherson Rd
Ste 100
Laredo, TX 78041
Phone (956) 462-5328
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Laredo, TX
- NPI 1760595201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617580800000",
"number": "1710360128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 451927",
"city": "LAREDO",
"state": "TX",
"postal_code": "780450047",
"telephone_number": "956-267-6630",
"fax_number": "956-552-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 LOMAS DEL SUR STE 111",
"city": "LAREDO",
"state": "TX",
"postal_code": "780465755",
"telephone_number": "956-267-6630",
"fax_number": "956-552-6747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNANDO SANCHEZ CLINICAL NEUROPHYSIOLOGY CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-02",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-267-6630",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "K3449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00463T",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102580103",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.