Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | H3341 | TX |
N | 2086S0129X | Vascular Surgeon | H3341 | TX |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | H3341 | TX |
NPI | 1467455022 |
---|---|
Provider Name | Dr. Robert Santoscoy |
First Address | El Paso, TX 79902-5008 |
Second Address | El Paso, TX 79902-5008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 31/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118065504 | (05) | TX |
G08205 | (02) | TX |