Individual
MANUEL A SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5206 RESEARCH DR, SAN ANTONIO, TX 78240-5251
(210) 595-5300
(210) 614-8740
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J7651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126541501
—
TX
05
—
126541506
—
TX
05
—
126541507
—
TX
01
—
87982G
BCBS
TX
01
—
P01547631
RAILROAD MEDICARE
TX
Enumeration date
02/06/2006
Last updated
02/26/2018
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