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General NPI Number Information
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NPI Number | 1861478752
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Entity Type | Individual
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Provider Name | MICHAEL O SANT MD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 2400 SAINT MICHAEL DR
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City | TEXARKANA
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State | TX
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Zip | 75503-2374
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Country | US
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Telephone | 903-614-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 3340 E GOLDSTONE DR
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City | MERIDIAN
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State | ID
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Zip | 83642
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Country | US
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Telephone | 208-605-3000
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Fax | 208-605-3395
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | U2417
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | M8613
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | M-8613
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.075149
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License Number State | OH
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