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Organization
RICARDO DE LOS SANTOS, M.D.,P.A.
Active
Organization
RICARDO DE LOS SANTOS, M.D.,P.A.
Active
Other names
Pediatric Specialty Clinic & Lab #2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA W. DE LOS SANTOS (CEO)
(830) 773-1103
Entity
Organization
Contact information
Practice address
2198 E. GARRISON ST., STE. 1, EAGLE PASS, TX 78852-5076
(830) 773-1103
(830) 757-8366
Mailing address
2198 E. GARRISON ST., STE. 1, EAGLE PASS, TX 78852-5076
(830) 773-1103
(830) 757-8366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F3442
TX
291U00000X
Clinical Medical Laboratory
45D0506351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111923201
—
TX
05
—
363381001
—
TX
Enumeration date
03/19/2007
Last updated
11/16/2016
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