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Individual

DR. ANTONIO SANTILLAN-GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4411 MEDICAL DR, STE. 100, SAN ANTONIO, TX 78229-3822
(210) 595-5300
(210) 595-5301
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
M8316
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
188777002
TX
05
188777003
TX
05
206018803
TX
01
8CH834
BCBS
TX
01
P01701266
RAILROAD
TX
Enumeration date
02/02/2007
Last updated
04/11/2017
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