Healthcare Provider Details
I. General information
NPI: 1417616533
Provider Name (Legal Business Name): DAYSAINT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2021
Last Update Date: 12/16/2021
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
323 SANTA DOMINGO
HELOTES TX
78023-4638
US
IV. Provider business mailing address
323 SANTA DOMINGO
HELOTES TX
78023-4638
US
V. Phone/Fax
- Phone: 917-859-0175
- Fax: 210-949-3006
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MY-CHARLLINS
VILSAINT
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 917-859-0175