Provider Demographics
NPI:1518982842
Name:SABA, JOHN L (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:L
Last Name:SABA
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 1:3604 TRINITY DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-4706
Mailing Address - Country:US
Mailing Address - Phone:432-689-4744
Mailing Address - Fax:432-689-4744
Practice Address - Street 1:3604 TRINITY DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-4706
Practice Address - Country:US
Practice Address - Phone:432-689-4744
Practice Address - Fax:432-689-4744
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1234208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF1234OtherMEDICAL LICENSE