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NPI Code Detail

MEDICARE: DR. ANGEL SANTIAGO JR. D.C.

MEDICARE: DR. ANGEL SANTIAGO JR. D.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
1111N00000XChiropractor10074TX

Other Identifiers

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

General Provider Information

NPI Number : 1568467926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGEL SANTIAGO JR. D.C.
Provider Business Mailing Address
First Line : 550S EDMONDS LN 102
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-3577
Country : US
Telephone Number : 972-956-8297
Fax Number : 972-956-8257
Provider Business Practice Location Address
First Line : 190 CIVIC CIR STE 250
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-3648
Country : US
Telephone Number : 214-728-8863
Fax Number : 972-956-8257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 05/24/2022

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