MEDICARE: SAUL BAEZ ANDINO

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	363LF0000X	Family Nurse Practitioner	1218069	TX

General Provider Information

NPI Number	:	1346103884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAUL BAEZ ANDINO

Provider Business Mailing Address
First Line	:	21614 ZYDECO CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-6969
Country	:	US
Telephone Number	:	346-282-1679
Fax Number	:

Provider Business Practice Location Address
First Line	:	21614 ZYDECO CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-6969
Country	:	US
Telephone Number	:	346-282-1679
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/11/2025

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Directions to “ SAUL BAEZ ANDINO ” Practice Location

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