Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | L4693 | TX |
Y | 207V00000X | Obstetrician & Gynecologist | L4693 | TX |
NPI | 1407813876 |
---|---|
Provider Name | Dr. Patricia Cristina Santiago Munoz |
First Address | Dallas, TX 75390-0001 |
Second Address | Dallas, TX 75390-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 28/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
152658401 | (05) | TX |
152658403 | (05) | TX |
H65958 | (02) |