MEDICARE: STACEY SAUNDERS MD

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	207Q00000X	Family Medicine Physician	S3296	TX

General Provider Information

NPI Number	:	1982053435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY SAUNDERS MD

Provider Business Mailing Address
First Line	:	2961 MOSSROCK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-5119
Country	:	US
Telephone Number	:	210-731-4800
Fax Number	:	210-731-4811

Provider Business Practice Location Address
First Line	:	10307 STATE HIGHWAY 151
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4557
Country	:	US
Telephone Number	:	210-237-4983
Fax Number	:	210-581-1471

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

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	02/06/2024

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