MEDICARE: DEBORAH SAULS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	23940	TX

General Provider Information

NPI Number	:	1811103666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH SAULS

Provider Business Mailing Address
First Line	:	3235 S PEMBERTON CIRCLE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4331
Country	:	US
Telephone Number	:	281-686-0654
Fax Number	:

Provider Business Practice Location Address
First Line	:	3235 S PEMBERTON CIRCLE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4331
Country	:	US
Telephone Number	:	281-686-0654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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