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Organization

ALFRED A. SANTOS, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALFRED AUGUSTINE SANTOS M.D. (OWNER/PHYSICIAN)
(940) 626-1900
Entity
Organization

Contact information

Practice address
2000 BEN MERRITT DR, SUITE B, DECATUR, TX 76234-3848
(940) 626-1900
(940) 626-1901
Mailing address
PO BOX 2051, DECATUR, TX 76234-6156
(940) 626-1900
(940) 626-1901

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K8470
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014RZ
BCBS
TX
05
202586801
TX
01
DO8407
MEDICARE RAILROAD
TX
Enumeration date
10/21/2008
Last updated
08/10/2009
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