Santiago, Jose F
Santiago, Jose F is an sole proprietor health care provider with primary practice located at 2624 W William Cannon Dr , Austin TX 78745-5251. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Santiago, Jose F can be contacted via phone (512) 443-7746.Contact Information
Primary practice address
2624 W William Cannon Dr
Austin TX 78745-5251
Phone: (512) 443-7746
Fax: (512) 443-6367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | J3408 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | J3408 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 007936 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J3408 | Texas |
Profile Details
| NPI number | 1023121613 |
|---|---|
| LBN Legal business name | Santiago, Jose F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jan 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023121613 | NPPES |
| Texas | MEDICAID | 133386601 | |
| Texas | MEDICAID | 133386605 |
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