Provider Demographics
NPI:1003298423
Name:SAENZ, GABRIEL LUZ (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:LUZ
Last Name:SAENZ
Suffix:
Gender:M
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 TRADITIONS DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-6117
Mailing Address - Country:US
Mailing Address - Phone:281-435-8532
Mailing Address - Fax:
Practice Address - Street 1:BDAACH/549TH HC USAG HUMPHREYS, BLDG. #3030
Practice Address - Street 2:UNIT #15245
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96271
Practice Address - Country:US
Practice Address - Phone:315-737-2635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783012163W00000X
TXAP129633283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No163W00000XNursing Service ProvidersRegistered Nurse