Healthcare Provider Details

I. General information

NPI: 1164088951
Provider Name (Legal Business Name): EDUARDO EDELMAN SAUL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SILAS CREEK PKWY
WINSTON SALEM NC
27103-3013
US

IV. Provider business mailing address

1515 HOLCOMBE BLVD UNIT 463
HOUSTON TX
77030-4000
US

V. Phone/Fax

Practice location:
  • Phone: 336-718-5570
  • Fax: 336-718-5569
Mailing address:
  • Phone: 713-792-0065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026-02556
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: