Provider Demographics
NPI:1992315097
Name:ENRIQUEZ SAENZ, BIBIANA PATRICIA (PHARMD)
Entity type:Individual
Prefix:
First Name:BIBIANA
Middle Name:PATRICIA
Last Name:ENRIQUEZ SAENZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 JENNIFER TRL
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-3295
Mailing Address - Country:US
Mailing Address - Phone:972-742-2221
Mailing Address - Fax:
Practice Address - Street 1:2755 N COLLINS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-3793
Practice Address - Country:US
Practice Address - Phone:972-742-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist