Provider Demographics
NPI:1821026691
Name:SALDANA FALCON, THERESA (DO)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:SALDANA FALCON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 GARTH RD STE 150
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-5628
Mailing Address - Country:US
Mailing Address - Phone:832-806-6810
Mailing Address - Fax:833-997-0936
Practice Address - Street 1:6515 GARTH RD STE 150
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-5628
Practice Address - Country:US
Practice Address - Phone:832-806-6810
Practice Address - Fax:833-997-0936
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2872207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00250995OtherMEDICARE RAILROAD
TX131820610Medicaid
TX8C9460Medicare PIN
TX131820610Medicaid