Individual
DR. SAMUEL MARTIN SANTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MEDICAL CENTER BLVD FL 2, WEBSTER, TX 77598-4220
(716) 688-7040
Mailing address
PO BOX 744127, DALLAS, TX 75374-4127
(281) 338-3208
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M6865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187357201
—
TX
Enumeration date
06/14/2007
Last updated
05/02/2008
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