Provider Demographics
NPI:1013572858
Name:SAULS, BEAU PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:BEAU
Middle Name:PATRICK
Last Name:SAULS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 LINNE RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-8307
Mailing Address - Country:US
Mailing Address - Phone:806-685-3707
Mailing Address - Fax:
Practice Address - Street 1:17740 PRESTON RD STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5840
Practice Address - Country:US
Practice Address - Phone:830-660-9855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14073111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor