1487741492 NPI number — MRS. DOROTHEA RENE SAENGER MD

Table of content: MRS. DOROTHEA RENE SAENGER MD (NPI 1487741492)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487741492 NPI number — MRS. DOROTHEA RENE SAENGER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAENGER
Provider First Name:
DOROTHEA
Provider Middle Name:
RENE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SAENGER
Provider Other First Name:
RENE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D., P.A.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1487741492
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4499 MEDICAL DRIVE
Provider Second Line Business Mailing Address:
SUITE 191
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78229-3774
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-692-0404
Provider Business Mailing Address Fax Number:
210-692-9202

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4499 MEDICAL DRIVE
Provider Second Line Business Practice Location Address:
SUITE 191
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-3774
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-692-0404
Provider Business Practice Location Address Fax Number:
210-692-9202
Provider Enumeration Date:
10/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  J6438 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: J6438 . This is a "STATE LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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