Basic Information
| Provider Information | |||||||||
| NPI: | 1851675813 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANCHEZ-JONES | ||||||||
| FirstName: | TAMIKA | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8038 WURZBACH RD | ||||||||
| Address2: | 340 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106140500 | ||||||||
| FaxNumber: | 2106144848 | ||||||||
| Practice Location | |||||||||
| Address1: | 8038 WURZBACH RD | ||||||||
| Address2: | 340 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106140500 | ||||||||
| FaxNumber: | 2106144848 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2011 | ||||||||
| LastUpdateDate: | 10/07/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 574337 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | MS2275039 | 01 | TX | DEA | OTHER | 00176939 | 01 | TX | DPS | OTHER |