Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | Q6277 | TX |
Y | 208600000X | Surgeon | Q6277 | TX |
N | 2086S0102X | Surgical Critical Care | Q6277 | TX |
N | 2086S0127X | Trauma Surgeon | Q6277 | TX |
NPI | 1235277864 |
---|---|
Provider Name | Dr. Ariel Pablo Santos |
First Address | Lubbock, TX 79430-0002 |
Second Address | Lubbock, TX 79430-1786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2007 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16452577 | (05) | NM |
200613580 A | (05) | OK |
352448001 | (05) | TX |
352448002 | (05) | TX |
FS3556923 | DEA (01) | PA |
MD446907 | PENNSYLVANIA LICENSE (01) | PA |