Provider Demographics
NPI:1932125887
Name:SAENZ, MONICA LISA (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LISA
Last Name:SAENZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LISA
Other - Last Name:CARVAJAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:27006 DRYBANK CREEK LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3731
Mailing Address - Country:US
Mailing Address - Phone:612-327-2493
Mailing Address - Fax:
Practice Address - Street 1:2438 MONARCH DR STE A-375
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6605
Practice Address - Country:US
Practice Address - Phone:956-523-0966
Practice Address - Fax:956-523-0980
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0368207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1932125887OtherTRICARE SOUTH
TX8CT548OtherBCBSTX
TX181342001Medicaid
TX181342002Medicaid
TX8CT548OtherBCBSTX
TX181342002Medicaid