MEDICARE: DR. PATRICIA CRISTINA SANTIAGO MUNOZ MD

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	207SG0201X	Clinical Genetics (M.D.) Physician	L4693	TX
2	207VM0101X	Maternal & Fetal Medicine Physician	L4693	TX
3	207V00000X	Obstetrics & Gynecology Physician	L4693	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407813876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA CRISTINA SANTIAGO MUNOZ MD

Provider Business Mailing Address
First Line	:	5939 HARRY HINES BLVD POB II 5TH FLOOR SUITE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-0001
Country	:	US
Telephone Number	:	214-645-3838
Fax Number	:	214-645-5494

Provider Business Practice Location Address
First Line	:	5939 HARRY HINES BLVD
Second Line	:	POB II, SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75390-0001
Country	:	US
Telephone Number	:	214-645-3838
Fax Number	:	214-645-3839

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	04/02/2025

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