MEDICARE: CYNTHIA W. SANTOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	H2752	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	H2752	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205818309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA W. SANTOS M.D.

Provider Business Mailing Address
First Line	:	1941 EAST RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-6010
Country	:	US
Telephone Number	:	713-486-2700
Fax Number	:	713-486-2721

Provider Business Practice Location Address
First Line	:	1941 EAST RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-6010
Country	:	US
Telephone Number	:	713-486-2700
Fax Number	:	713-486-2721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	08/29/2011

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