Provider Demographics
NPI:1497003917
Name:SAOUD, FAWZI (MD)
Entity Type:Individual
Prefix:
First Name:FAWZI
Middle Name:
Last Name:SAOUD
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 1:2821 MICHAELANGELO DR STE 401
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-1405
Mailing Address - Country:US
Mailing Address - Phone:956-362-2470
Mailing Address - Fax:956-362-2487
Practice Address - Street 1:2821 MICHAELANGELO DR STE 401
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-362-2470
Practice Address - Fax:956-362-2487
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10043761207V00000X
TXBP-0057964207VM0101X
TXR4316207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology