Provider Demographics
NPI:1407904881
Name:SAENZ, JUAN J (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:J
Last Name:SAENZ
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 1:5300 NORTH G STREET
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2277
Mailing Address - Country:US
Mailing Address - Phone:956-686-6100
Mailing Address - Fax:956-686-6115
Practice Address - Street 1:5300 N G STREET
Practice Address - Street 2:SUITE 140
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2277
Practice Address - Country:US
Practice Address - Phone:956-686-6100
Practice Address - Fax:956-686-6115
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6166208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111437301Medicaid