Provider Demographics
NPI:1689934705
Name:SANCHES, MARSAL (MD)
Entity type:Individual
Prefix:DR
First Name:MARSAL
Middle Name:
Last Name:SANCHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5615 H MARK CROSSWELL JR ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1080
Mailing Address - Country:US
Mailing Address - Phone:713-500-1500
Mailing Address - Fax:
Practice Address - Street 1:5615 H MARK CROSSWELL JR ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1080
Practice Address - Country:US
Practice Address - Phone:713-500-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR22142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1457564Medicaid
ND1457564Medicaid