Provider Demographics
NPI:1801892153
Name:SANCHEZ, BENNY JUAREZ (MD)
Entity type:Individual
Prefix:
First Name:BENNY
Middle Name:JUAREZ
Last Name:SANCHEZ
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 1:25329 INTERSTATE 45
Mailing Address - Street 2:STE B
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3439
Mailing Address - Country:US
Mailing Address - Phone:713-697-6884
Mailing Address - Fax:713-699-3705
Practice Address - Street 1:25329 INTERSTATE 45 B
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3439
Practice Address - Country:US
Practice Address - Phone:281-419-6888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3747207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1386898-14Medicaid
TX349880400OtherUS DEPT OF LABOR
TXMDH3747OtherWORKERS COMPENSATION
TX1386898-14Medicaid
TX1386898-14Medicaid