Provider Demographics
NPI:1831338748
Name:KEVIN SAIZ
Entity type:Organization
Organization Name:KEVIN SAIZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:979-543-3300
Mailing Address - Street 1:1201 W LOOP ST
Mailing Address - Street 2:
Mailing Address - City:EL CAMPO
Mailing Address - State:TX
Mailing Address - Zip Code:77437-9482
Mailing Address - Country:US
Mailing Address - Phone:979-543-3300
Mailing Address - Fax:979-543-3390
Practice Address - Street 1:1201 W LOOP ST
Practice Address - Street 2:
Practice Address - City:EL CAMPO
Practice Address - State:TX
Practice Address - Zip Code:77437-9482
Practice Address - Country:US
Practice Address - Phone:979-543-3300
Practice Address - Fax:979-543-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
613968Medicare PIN