Provider Demographics
NPI:1164873188
Name:SAENZ CHAVEZ, HUMBERTO RAUL (MD)
Entity Type:Individual
Prefix:
First Name:HUMBERTO
Middle Name:RAUL
Last Name:SAENZ CHAVEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6974 GATEWAY BLVD E STE F
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1115
Mailing Address - Country:US
Mailing Address - Phone:915-352-0868
Mailing Address - Fax:
Practice Address - Street 1:6974 GATEWAY BLVD E STE F
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1115
Practice Address - Country:US
Practice Address - Phone:915-591-2704
Practice Address - Fax:915-598-3946
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS5059207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine