Provider Demographics
NPI:1891975728
Name:SENNESSIE, RICHARD SAFFA
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:SAFFA
Last Name:SENNESSIE
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:RICHARD
Other - Middle Name:SAFFA
Other - Last Name:SENNESSIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10048 SUEZ DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-4637
Mailing Address - Country:US
Mailing Address - Phone:915-996-9749
Mailing Address - Fax:915-996-9749
Practice Address - Street 1:10048 SUEZ DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-4637
Practice Address - Country:US
Practice Address - Phone:915-996-9749
Practice Address - Fax:915-996-9749
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBUS07-04620163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health