Individual
SIMON C SANTILLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
930 W CENTERVILLE RD STE 930, GARLAND, TX 75041-5823
(972) 303-7021
Mailing address
5220 SPRING VALLEY RD STE 400, DALLAS, TX 75254-2512
(214) 466-1340
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2166665
TX
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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