Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | L5121 | TX |
Y | 208000000X | Pediatrician | L5121 | TX |
NPI | 1154361798 |
---|---|
Provider Name | Christopher Saenz |
First Address | Austin, TX 78758-2401 |
Second Address | Austin, TX 78732-1839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
158465801 | (05) | TX |
158465803 | (05) | TX |
158465804 | MEDICAID CSHCN (01) | TX |