Provider Demographics
NPI:1538140108
Name:SAULNY, STANLEY MICHAEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:MICHAEL
Last Name:SAULNY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5656 BEE CAVES RD STE F200
Mailing Address - Street 2:
Mailing Address - City:W LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5236
Mailing Address - Country:US
Mailing Address - Phone:512-472-4011
Mailing Address - Fax:512-472-5057
Practice Address - Street 1:5656 BEE CAVES RD STE F200
Practice Address - Street 2:
Practice Address - City:W LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5236
Practice Address - Country:US
Practice Address - Phone:512-472-4011
Practice Address - Fax:512-472-5057
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA68520207W00000X, 207WX0200X
MS19798207WX0200X
TXR2216207WX0200X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH48503Medicare UPIN