Organization
SANTAELLA SURGICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT O SANTAELLA M.D (PRESIDENT)
(972) 335-7874
Entity
Organization
Contact information
Practice address
6898 LEBANON RD, SUITE 103, FRISCO, TX 75034-7473
(972) 335-7874
(214) 872-3455
Mailing address
6898 LEBANON RD, SUITE 103, FRISCO, TX 75034-7473
(972) 335-7874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
08/07/2012
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