Provider Demographics
NPI:1649401944
Name:SAENZ, PAULA C (RDLD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:C
Last Name:SAENZ
Suffix:
Gender:F
Credentials:RDLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13604 BOROLO DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-9850
Mailing Address - Country:US
Mailing Address - Phone:956-357-0169
Mailing Address - Fax:
Practice Address - Street 1:13604 BOROLO DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-9850
Practice Address - Country:US
Practice Address - Phone:956-357-0169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT05348133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered