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Individual

DR. ROBERTO DE LOS SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
17215 RED OAK DR STE 102, HOUSTON, TX 77090-2611
(281) 444-4114
(281) 444-7789
Mailing address
17215 RED OAK DR STE 102, HOUSTON, TX 77090-2611
(281) 444-4114
(281) 444-7789

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3090
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
213E00000X
TAXONOMY CODE
TX
01
2961806229
PECOS PAC ID
TX
05
427303902
TX
01
450684
CMS CERTIFICATION NUMBER MEMORIAL HERMAN NORTHEAST
01
I20210809001539
PECOS ENROLLMENT ID
TX
Enumeration date
05/13/2018
Last updated
07/21/2022
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