Provider Demographics
NPI:1992280432
Name:SAENZ, MARCO A (PTA)
Entity type:Individual
Prefix:
First Name:MARCO
Middle Name:A
Last Name:SAENZ
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 CYNTHIA LN
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6429
Mailing Address - Country:US
Mailing Address - Phone:956-454-6713
Mailing Address - Fax:
Practice Address - Street 1:912 E NOLANA LOOP STE H
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5829
Practice Address - Country:US
Practice Address - Phone:956-502-5717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2041853225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant