Provider Demographics
NPI:1982148862
Name:SAAD ENTERPRISES, INC.
Entity Type:Organization
Organization Name:SAAD ENTERPRISES, INC.
Other - Org Name:SAAD MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:B
Authorized Official - Last Name:FULGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-343-9600
Mailing Address - Street 1:1515 S UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-2958
Mailing Address - Country:US
Mailing Address - Phone:251-343-9600
Mailing Address - Fax:251-380-7308
Practice Address - Street 1:10598 DIBERVILLE BLVD
Practice Address - Street 2:
Practice Address - City:DIBERVILLE
Practice Address - State:MS
Practice Address - Zip Code:39540-2465
Practice Address - Country:US
Practice Address - Phone:251-343-9600
Practice Address - Fax:281-380-7308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty