Provider Demographics
NPI:1619180916
Name:LYTLE-VIEIRA, SASKIA M (DO)
Entity Type:Individual
Prefix:
First Name:SASKIA
Middle Name:M
Last Name:LYTLE-VIEIRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 BEE CAVES RD STE 308
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5284
Mailing Address - Country:US
Mailing Address - Phone:512-638-2979
Mailing Address - Fax:866-466-6438
Practice Address - Street 1:4611 BEE CAVES RD STE 308
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5284
Practice Address - Country:US
Practice Address - Phone:512-638-2979
Practice Address - Fax:866-466-6438
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11857204D00000X, 204D00000X
TXS9345204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A11857OtherSTATE OF CALIFORNIA
TXS9345OtherSTATE LICENSE
TXS9345OtherSTATE LICENSE