Healthcare Provider Details

I. General information

NPI: 1710669643
Provider Name (Legal Business Name): LAURYN ALEXA SAENZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 FAIRLAWN DR
SAN ANTONIO TX
78223-4022
US

IV. Provider business mailing address

7115 FAIRLAWN DR
SAN ANTONIO TX
78223-4022
US

V. Phone/Fax

Practice location:
  • Phone: 210-337-2600
  • Fax: 210-337-2644
Mailing address:
  • Phone: 210-337-2600
  • Fax: 210-337-2644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1130331
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: