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NPI Code Detail

MEDICARE: WILBER ALEXANDER ESTRADA SANTIAGO M.D.

MEDICARE:   WILBER ALEXANDER ESTRADA SANTIAGO  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
1207R00000XInternal Medicine PhysicianN5044TX

Other Identifiers

General Provider Information

NPI Number : 1164620860
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILBER ALEXANDER ESTRADA SANTIAGO M.D.
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-0000
Fax Number :
Provider Business Practice Location Address
First Line : 7010 HIGHWAY 6
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4995
Country : US
Telephone Number : 713-442-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2007
Last Update Date : 04/22/2020

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Directions to “ WILBER ALEXANDER ESTRADA SANTIAGO M.D.” Practice Location

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