Provider Demographics
NPI:1972740686
Name:THE ADAM SAENZ GROUP, P.C.
Entity type:Organization
Organization Name:THE ADAM SAENZ GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:979-229-7636
Mailing Address - Street 1:2554 E VILLA MARIA RD
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2037
Mailing Address - Country:US
Mailing Address - Phone:979-229-7636
Mailing Address - Fax:979-774-0316
Practice Address - Street 1:2554 E VILLA MARIA RD
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2037
Practice Address - Country:US
Practice Address - Phone:979-229-7636
Practice Address - Fax:979-774-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32151103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156479101Medicaid
TX1558371823OtherNPPES