Individual
DR. ALFRED AUGUSTINE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9525 GREENVILLE AVE, DALLAS, TX 75243-4116
(940) 393-6370
Mailing address
PO BOX 2051, DECATUR, TX 76234-6156
(940) 393-6370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K8470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046468703
—
TX
01
—
8BW827
BCBS
TX
01
—
P00710648
MEDICARE RAILROAD
TX
Enumeration date
09/20/2006
Last updated
06/19/2015
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