Provider Demographics
NPI:1386358257
Name:SAULS, TATYANA L
Entity type:Individual
Prefix:
First Name:TATYANA
Middle Name:L
Last Name:SAULS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9003
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-0017
Mailing Address - Country:US
Mailing Address - Phone:936-714-7435
Mailing Address - Fax:
Practice Address - Street 1:425 MCCALEB RD APT 3206
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-5222
Practice Address - Country:US
Practice Address - Phone:936-714-7435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider