Santillan-Gomez, Antonio

Santillan-Gomez, Antonio is an individual health care provider with primary practice located at 4411 Medical Dr Ste. 100, San Antonio TX 78229-3822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Santillan-Gomez, Antonio can be contacted via phone (210) 595-5300.

Contact Information

Primary practice address
4411 Medical Dr Ste. 100 San Antonio TX 78229-3822
Phone: (210) 595-5300
Fax: (210) 595-5301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X M8316 Texas

Profile Details

NPI number 1013055813
LBN Legal business name Santillan-Gomez, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Apr 11th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013055813 NPPES
Texas MEDICAID 188777003
Texas Other P01701266
Texas Other 8CH834
Texas MEDICAID 188777002
Texas MEDICAID 206018803

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