Provider Demographics
NPI:1164499612
Name:SAENZ, ALEJANDRO A (MPT)
Entity Type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:A
Last Name:SAENZ
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 W DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4951
Mailing Address - Country:US
Mailing Address - Phone:469-930-0021
Mailing Address - Fax:214-613-1462
Practice Address - Street 1:718 W DAVIS ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4951
Practice Address - Country:US
Practice Address - Phone:214-901-4960
Practice Address - Fax:214-613-1462
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11628082251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
676521Medicare ID - Type Unspecified