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NPI Code Detail

MEDICARE: THERESA SANTOS TOTAH PA-C

MEDICARE:   THERESA SANTOS TOTAH  PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1477241347
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA SANTOS TOTAH PA-C
Provider Business Mailing Address
First Line : 2028 SUNDANCE PKWY
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-2750
Country : US
Telephone Number : 512-754-8676
Fax Number : 512-754-6940
Provider Business Practice Location Address
First Line : 4375 BOOTH CALLOWAY RD STE 307
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-8364
Country : US
Telephone Number : 682-463-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2023
Last Update Date : 04/28/2026

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Directions to “ THERESA SANTOS TOTAH PA-C” Practice Location

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