DR. BROC ENRIQUE RAMON DEPENA SANCHEZ APRN (NP) NPI 1255339362

NPI Information

NPI: 1255339362
Provider Name: DR. BROC ENRIQUE RAMON DEPENA SANCHEZ, APRN (NP)
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: DALLAS COUNTY HOSPITAL DISTRICT

PECOS Registration: Yes

Address:
9331 E LAKE HIGHLANDS DR
DALLAS, TX
ZIP 75218
Phone: (214) 328-8378
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DR. Broc Enrique Ramon Depena Sanchez, APRN (NP) is a psychiatric/mental health nurse practitioner in Dallas, TX with 26 years of experience. DR. Broc Enrique Ramon Depena Sanchez, APRN (NP) NPI is 1255339362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9331 E LAKE HIGHLANDS DR
DALLAS, TX
ZIP 75218-723
Phone: (214) 328-8378

The NPI 1255339362 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 12/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP108991	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP108991	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8G9917	MEDICARE PIN	TEXAS
2	249794	OTHER	TEXAS	REGISTERED NURSE LICENSE
3	FNP009228	MEDICAID	TEXAS
4	0327382	OTHER	TEXAS	FAMILY NURSE PRACTITIONER -BOARD CERTIFICATION-ANCC
5	0359671-35	OTHER	TEXAS	PSYCHIATRIC AND MENTAL HEALTH NURSE PRACTITIONER BOARD CERTIFICATION-ANCC
6	AP108991	OTHER	TEXAS	ADVANCED PRACTICE REGISTERED NURSE LICENSE
7	MS1022603	OTHER	TEXAS	PREVIOUS DEA NUMBER
8	60129595	OTHER	TEXAS	PREVIOUS-DEPARTMENT OF PUBLIC SAFETY -CONTROLLED SUBSTANCE REGISTRATION
9	S69840	MEDICARE UPIN	TEXAS
10	02687	OTHER	TEXAS	STATE PRESCRIPTIVE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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