Provider Demographics
NPI:1588821870
Name:R. CRAIG SAUNDERS, M.D. P.A.
Entity Type:Organization
Organization Name:R. CRAIG SAUNDERS, M.D. P.A.
Other - Org Name:R. CRAIG SAUNDERS, M.D., P.A.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:R. CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:817-267-4492
Mailing Address - Street 1:8865 DAVIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-0322
Mailing Address - Country:US
Mailing Address - Phone:817-267-4492
Mailing Address - Fax:817-267-2495
Practice Address - Street 1:8865 DAVIS BLVD STE A
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-0322
Practice Address - Country:US
Practice Address - Phone:817-267-4492
Practice Address - Fax:817-267-2495
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R. CRAIG SAUNDERS, M.D. P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-22
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2779207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0089DQOtherBLUE CROSS BLUE SHIELD
TX0071AYMedicare Oscar/Certification