Individual
DR. LUIS A DESANTOS
Active
Individual
DR. LUIS A DESANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
E7051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J245
MEDICARE GROUP
TX
05
—
124452703
—
TX
01
—
300034175
MEDICARE RAILROAD
TX
01
—
CS7910
MEDICARE RAILROAD GROUP
TX
Enumeration date
05/25/2006
Last updated
07/16/2013
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