Organization
J SANTANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SANTANA JR. CSFA (SURGICAL ASSISTANT)
(817) 716-4754
Entity
Organization
Contact information
Practice address
5600 MOUNT STORM WAY, FORT WORTH, TX 76179-4437
(817) 716-4754
Mailing address
5600 MOUNT STORM WAY, FORT WORTH, TX 76179-4437
(817) 716-4754
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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