# ANTONIO B SAQUETON PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205037579
- **Authorized official:** MS. NANCI VIEYRA (BILLING MANAGER)
- **Authorized official phone:** (402) 978-5151

## Contact information

- **Practice address:** 4115 HARRISON ST, OMAHA, NE 68147-1059
- **Practice address phone:** (402) 978-5151
- **Practice address fax:** (402) 341-3616
- **Mailing address:** PO BOX 460607, PAPILLION, NE 68046-0607
- **Mailing address phone:** (402) 978-5151
- **Mailing address fax:** (402) 341-3616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 09/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025273600 | — | NE |