Individual
SAUL HARRIS PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
821 N BROADWAY ST, ASPERMONT, TX 79502-2029
(940) 989-3551
Mailing address
PO BOX 802, ASPERMONT, TX 79502-0802
(940) 989-3551
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12101
TX
Other
Enumeration date
07/05/2018
Last updated
12/23/2020
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