MEDICARE: PRISCILLA SAAVEDRA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16659	TX

General Provider Information

NPI Number	:	1124984000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRISCILLA SAAVEDRA

Provider Business Mailing Address
First Line	:	800 W PASADENA BLVD APT 7213
Second Line	:
City	:	DEER PARK
State	:	TX
Zip	:	77536-5883
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15419 WALLISVILLE RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77049-4634
Country	:	US
Telephone Number	:	832-462-7637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ PRISCILLA SAAVEDRA ” Practice Location

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