Provider Demographics
NPI:1174055396
Name:SAUL, ANGELA (MOT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:SAUL
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 CIMARRON PARK LOOP
Mailing Address - Street 2:#D
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-2852
Mailing Address - Country:US
Mailing Address - Phone:512-295-2273
Mailing Address - Fax:512-295-2280
Practice Address - Street 1:181 CIMARRON PARK LOOP
Practice Address - Street 2:#D
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-2852
Practice Address - Country:US
Practice Address - Phone:512-295-2273
Practice Address - Fax:512-295-2280
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118304225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist