Provider Demographics
NPI:1467144063
Name:SAUL, PERCY J III
Entity Type:Individual
Prefix:
First Name:PERCY
Middle Name:J
Last Name:SAUL
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 WOODLAND DR APT 243
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7624
Mailing Address - Country:US
Mailing Address - Phone:150-443-2723
Mailing Address - Fax:
Practice Address - Street 1:5000 WOODLAND DR APT 243
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-7624
Practice Address - Country:US
Practice Address - Phone:504-432-7238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver