Provider Demographics
NPI:1205801271
Name:SAENZ, ELEANORA ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:ELEANORA
Middle Name:ELLEN
Last Name:SAENZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELEANORA
Other - Middle Name:ELLEN
Other - Last Name:DUKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4243 E SOUTHCROSS BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3727
Mailing Address - Country:US
Mailing Address - Phone:210-304-3500
Mailing Address - Fax:210-337-2909
Practice Address - Street 1:4243 E SOUTHCROSS BLVD
Practice Address - Street 2:STE 205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3727
Practice Address - Country:US
Practice Address - Phone:210-304-3500
Practice Address - Fax:210-337-2909
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1978207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J4123OtherWELLMED MEDICAL GROUP PA
TX1015265-03OtherWELLMED MEDICAID
TX8J4123OtherWELLMED MEDICAL GROUP PA