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NPI Code Detail

MEDICARE: MARIA ANNABELLE T. DE LOS SANTOS F.N.P.

MEDICARE: MARIA ANNABELLE T. DE LOS SANTOS F.N.P.
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
1363LF0000XFamily Nurse Practitioner539582TX

Other Identifiers

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

General Provider Information

NPI Number : 1427053503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ANNABELLE T. DE LOS SANTOS F.N.P.
Provider Business Mailing Address
First Line : 12141 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2408
Country : US
Telephone Number : 281-588-8110
Fax Number :
Provider Business Practice Location Address
First Line : 12141 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2408
Country : US
Telephone Number : 281-588-8110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/06/2015

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Directions to “ MARIA ANNABELLE T. DE LOS SANTOS F.N.P.” Practice Location

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