MEDICARE: ALFRED A. SANTOS, M.D., P.A.

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	208600000X	Surgery Physician	K8470	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DO8407	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0014RZ	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447402672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFRED A. SANTOS, M.D., P.A.

Provider Business Mailing Address
First Line	:	PO BOX 2051
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234-6156
Country	:	US
Telephone Number	:	940-626-1900
Fax Number	:	940-626-1901

Provider Business Practice Location Address
First Line	:	2000 BEN MERRITT DR
Second Line	:	SUITE B
City	:	DECATUR
State	:	TX
Zip	:	76234-3848
Country	:	US
Telephone Number	:	940-626-1900
Fax Number	:	940-626-1901

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. ALFRED AUGUSTINE SANTOS
Credential	:	M.D.
Telephone Number	:	940-626-1900

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	08/10/2009

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Directions to “ALFRED A. SANTOS, M.D., P.A. ” Practice Location

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