Healthcare Provider Details

I. General information

NPI: 1215303219
Provider Name (Legal Business Name): MRS. TEREE SAENZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2015
Last Update Date: 08/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12249 WALDEN WOOD DR
FORT WORTH TX
76244-5575
US

IV. Provider business mailing address

12249 WALDEN WOOD DR
FORT WORTH TX
76244-5575
US

V. Phone/Fax

Practice location:
  • Phone: 817-946-3123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: