Provider Demographics
NPI:1487741492
Name:SAENGER, DOROTHEA RENE (MD)
Entity type:Individual
Prefix:MRS
First Name:DOROTHEA
Middle Name:RENE
Last Name:SAENGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:RENE
Other - Middle Name:
Other - Last Name:SAENGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PA
Mailing Address - Street 1:4499 MEDICAL DRIVE
Mailing Address - Street 2:SUITE 191
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3774
Mailing Address - Country:US
Mailing Address - Phone:210-692-0404
Mailing Address - Fax:210-692-9202
Practice Address - Street 1:4499 MEDICAL DRIVE
Practice Address - Street 2:SUITE 191
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3774
Practice Address - Country:US
Practice Address - Phone:210-692-0404
Practice Address - Fax:210-692-9202
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6438207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ6438OtherSTATE LICENSE
TXH32711Medicare UPIN