Individual
DR. ANGEL SANTIAGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
190 CIVIC CIR STE 250, LEWISVILLE, TX 75067-3648
(214) 728-8863
(972) 956-8257
Mailing address
550S EDMONDS LN 102, LEWISVILLE, TX 75067-3577
(972) 956-8297
(972) 956-8257
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10074
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1766651-01
—
TX
Enumeration date
06/14/2005
Last updated
05/24/2022
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