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Individual

ALFREDO O SANTESTEBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 WINNIPEG DR, REVENUE MANAGEMENT, LEWISVILLE, TX 75077-2978
(469) 464-3150
Mailing address
1200 WINNIPEG DR, REVENUE MANAGEMENT, LEWISVILLE, TX 75077-2978
(469) 464-3150

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F5429
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U87Z
BCBSTX GRP PIN
TX
01
073065
ECFMG
01
0885094
CIGNA PIN
TX
01
12353100
FIRSTCARE PIN
TX
05
123586301
TX
05
140442820
TX
01
1750369203
GRP NPI NUMBER
01
4396098
AETNA PIN
TX
01
733833
FIRSTHEALTH PIN
TX
01
82Y920
BCBSTX IND PIN
TX
01
88097
UHC PIN
TX
01
SANAB26165
CCHIP PIN
TX
Enumeration date
10/10/2006
Last updated
04/17/2013
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