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Individual

DR. DIXON SANTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 4TH ST, SUITE 3A112, LUBBOCK, TX 79430-0002
(806) 743-2373
(806) 743-2113
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41659
TX
2086S0129X
Vascular Surgery Physician
Primary
41659
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137264100
TX
01
137264101
FIRSTCARE COMMERCIAL
TX
05
165435201
TX
05
165435202
TX
05
200024250A
OK
01
201045594
PRESBYTERIAN COMMERCIAL
NM
05
201045594
NM
05
70982261
NM
01
8G0354
BC/BS
TX
01
8M1170
HMO BLUE
TX
01
B016
TRIWEST
NM
Enumeration date
12/01/2005
Last updated
11/09/2021
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