Provider Demographics
NPI:1003580457
Name:SAENZ, TATIANA SUZETTE (PHARM D, RPH)
Entity Type:Individual
Prefix:DR
First Name:TATIANA
Middle Name:SUZETTE
Last Name:SAENZ
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25102 SUMMIT CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-1930
Mailing Address - Country:US
Mailing Address - Phone:956-202-1322
Mailing Address - Fax:
Practice Address - Street 1:26482 N HWY 281
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7215
Practice Address - Country:US
Practice Address - Phone:830-438-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist