Healthcare Provider Details
I. General information
NPI: 1740251933
Provider Name (Legal Business Name): RUBEN AUGUSTO SAEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/27/2006
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6957 W PLANO PKWY STE 2000
PLANO TX
75093
US
IV. Provider business mailing address
PO BOX 911230
DALLAS TX
75391-1230
US
V. Phone/Fax
- Phone: 214-483-6933
- Fax: 214-483-6648
- Phone: 972-997-8000
- Fax: 972-234-0813
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | ME74555 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | G5562 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: