Healthcare Provider Details

I. General information

NPI: 1760514160
Provider Name (Legal Business Name): JENNIFER BAYLISS SAUCIER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13011 MCCALLEN PASS STE 100
AUSTIN TX
78753-5380
US

IV. Provider business mailing address

54 W TRACE CREEK DR
THE WOODLANDS TX
77381-4519
US

V. Phone/Fax

Practice location:
  • Phone: 650-249-9090
  • Fax:
Mailing address:
  • Phone: 281-419-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: