Individual
DR. MARK SANTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
L7160
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
C53645
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L7160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094750901
—
TX
01
—
8B1031
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P00062512
MEDICARE RAILROAD
TX
Enumeration date
06/15/2005
Last updated
10/14/2020
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