Individual
ODEMARIS SANTIAGO-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
176 FAIRWAY DR, KERRVILLE, TX 78028-6437
(830) 896-6100
Mailing address
176 FAIRWAY DR, KERRVILLE, TX 78028-6437
(830) 896-6100
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
H9477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G8640
BC/BS
TX
Enumeration date
08/27/2006
Last updated
04/02/2008
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