Provider Demographics
NPI:1093920399
Name:SAENZ, JORGE (MD PA)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:SAENZ
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 E EXPRESSWAY 83 STE 2
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4530
Mailing Address - Country:US
Mailing Address - Phone:956-546-1497
Mailing Address - Fax:
Practice Address - Street 1:1416 E EXPRESSWAY 83
Practice Address - Street 2:STE. 2
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4530
Practice Address - Country:US
Practice Address - Phone:956-546-1497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2767207Q00000X, 208VP0000X, 208VP0014X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine