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NPI Code Detail

MEDICARE: DR. SHARYL J. SANTEMA M.D.

MEDICARE: DR. SHARYL J. SANTEMA 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
1208000000XPediatrics PhysicianJ6178TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3370017469OTHERTXRR/MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
280430KOTHERTXBLUE SHIELD
41007593-01OTHERTXCSHCN

General Provider Information

NPI Number : 1972564706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARYL J. SANTEMA M.D.
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 6684 W ADAMS AVE
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5632
Country : US
Telephone Number : 254-899-4200
Fax Number : 254-899-4205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 08/15/2024

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