Provider Demographics
NPI:1811088305
Name:SAENZ, GILBERTO III (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:GILBERTO
Middle Name:
Last Name:SAENZ
Suffix:III
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3010 WILLIAMS DR
Mailing Address - Street 2:SUITE 177
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2764
Mailing Address - Country:US
Mailing Address - Phone:512-930-3909
Mailing Address - Fax:512-869-5868
Practice Address - Street 1:3010 WILLIAMS DR
Practice Address - Street 2:SUITE 177
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2764
Practice Address - Country:US
Practice Address - Phone:512-930-3909
Practice Address - Fax:512-869-5868
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA03581363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX289387701Medicaid
TX8Y5211OtherBCBS
TXTXB132021Medicare PIN
TX8K8639Medicare PIN
TX8K8638Medicare PIN
TXQ53241Medicare UPIN
TX289387701Medicaid