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NPI Code Detail

MEDICARE: DR. ANTONIO SANTIAGO M.D.

MEDICARE: DR. ANTONIO 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
12080N0001XNeonatal-Perinatal Medicine PhysicianH8821TX

General Provider Information

NPI Number : 1689638439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTONIO SANTIAGO M.D.
Provider Business Mailing Address
First Line : 1121 E SPRING CREEK PKWY
Second Line : STE. 110, #319
City : PLANO
State : TX
Zip : 75074
Country : US
Telephone Number : 214-343-6663
Fax Number : 214-343-2814
Provider Business Practice Location Address
First Line : 6200 W PARKER RD
Second Line :
City : PLANO
State : TX
Zip : 75093-8185
Country : US
Telephone Number : 214-343-6663
Fax Number : 214-343-2814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 08/25/2024

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