Provider Demographics
NPI:1740251933
Name:SAEZ, RUBEN AUGUSTO (MD)
Entity type:Individual
Prefix:
First Name:RUBEN
Middle Name:AUGUSTO
Last Name:SAEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:6957 W PLANO PKWY STE 2000
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:214-483-6933
Practice Address - Fax:214-483-6648
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74555207RH0003X
TXG5562207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX124970815Medicaid
FL262343900Medicaid
TX124970814Medicaid
TX8W4993OtherBCBS
OK100827750AMedicaid
TX124970815Medicaid
TX124970809Medicaid
TX124970814Medicaid
FL262343900Medicaid
TX124970806Medicaid
TX8L2073Medicare PIN
TX8W4993OtherBCBS
E27634Medicare UPIN
TXP00397439Medicare PIN
TX124970812Medicaid
TX124970806Medicaid