Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | H5048 | TX |
N | 207QS0010X | Family Doctor - Sports Medicine | H5048 | TX |
NPI | 1184771958 |
---|---|
Provider Name | Dr. Paul Stephen Saenz |
First Address | San Antonio, TX 78240-1679 |
Second Address | San Antonio, TX 78240-1679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 10/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10597639 | CAQH (01) | TX |
114082405 | (05) | TX |
8K7141 | BCBS (01) | TX |
D86939 | (02) |