Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | BP1-0026245 | TX |
Y | 207K00000X | Allergist & Immunologist | N1115 | TX |
N | 207KA0200X | Allergist | 42415 | AZ |
NPI | 1497946685 |
---|---|
Provider Name | Dr. Michael Carl Saavedra |
First Address | Charlotte, NC 28260-3725 |
Second Address | Austin, TX 78759-4100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 03/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1P5036 | PTAN (01) | TX |