Provider Demographics
NPI:1639594476
Name:SAEED MEDICAL GROUP PLLC
Entity Type:Organization
Organization Name:SAEED MEDICAL GROUP PLLC
Other - Org Name:RENAISSANCE RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:AKHTAR
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-554-0123
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77574-0289
Mailing Address - Country:US
Mailing Address - Phone:281-554-0123
Mailing Address - Fax:281-554-0124
Practice Address - Street 1:501 GULF FWY S
Practice Address - Street 2:SUITE 105
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3536
Practice Address - Country:US
Practice Address - Phone:281-554-0123
Practice Address - Fax:281-554-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3578-3579261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder