Individual
GREGG M SANTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 COMMUNICATIONS PKWY, SUITE 675, PLANO, TX 75093-8157
(972) 473-7544
(972) 473-7545
Mailing address
8440 WALNUT HILL LN, SUITE 350, DALLAS, TX 75231-3833
(214) 373-1773
(214) 373-1316
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
K1922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1206104
—
TX
Enumeration date
11/08/2005
Last updated
08/04/2009
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