Basic Information
| Provider Information | |||||||||
| NPI: | 1154361798 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAENZ | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12221 N MOPAC EXPY | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787582401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5126815902 | ||||||||
| FaxNumber: | 5126815922 | ||||||||
| Practice Location | |||||||||
| Address1: | 5145 FM 620 N BLDG I | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787321839 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5126815902 | ||||||||
| FaxNumber: | 5126815922 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 01/28/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | L5121 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics | 207PP0204X | L5121 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | Pediatric Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 158465803 | 05 | TX | MEDICAID | 158465801 | 05 | TX | MEDICAID | 158465804 | 01 | TX | MEDICAID CSHCN | OTHER |