# ADELA R. SANTOS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891304408
- **Authorized official:** MRS. ADELA R SANTOS MSN, APRN, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (361) 834-5300

## Contact information

- **Practice address:** 6625 WOOLDRIDGE RD STE 402, CORPUS CHRISTI, TX 78414-2916
- **Practice address phone:** (361) 765-4666
- **Practice address fax:** (361) 992-4655
- **Mailing address:** 353 MERRILL DR, CORPUS CHRISTI, TX 78408-3344
- **Mailing address phone:** (361) 834-5300
- **Mailing address fax:** (361) 992-4655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2020
- **Last updated:** 03/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12667258 | CAQH | TX |