Provider Demographics
NPI:1255823480
Name:SAENZ DME LLC
Entity type:Organization
Organization Name:SAENZ DME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:972-972-8433
Mailing Address - Street 1:718 W DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4951
Mailing Address - Country:US
Mailing Address - Phone:469-930-0021
Mailing Address - Fax:214-613-1462
Practice Address - Street 1:718 W DAVIS ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4951
Practice Address - Country:US
Practice Address - Phone:469-930-0021
Practice Address - Fax:214-613-1462
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAENZ DME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-04
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001878332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001878OtherDEVICE DISTRIBUTOR