Provider Demographics
NPI:1447538426
Name:BIANCA SANCHEZ, PA
Entity type:Organization
Organization Name:BIANCA SANCHEZ, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:ALINEZ
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:281-261-0020
Mailing Address - Street 1:4706 RIVERSTONE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4720
Mailing Address - Country:US
Mailing Address - Phone:281-261-0020
Mailing Address - Fax:281-261-0024
Practice Address - Street 1:4706 RIVERSTONE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4720
Practice Address - Country:US
Practice Address - Phone:281-261-0020
Practice Address - Fax:281-261-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181731223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty