Provider / Organization | NPI | Date Certified |
---|---|---|
LUIZ SANTOS | 1962086652 | 2021-05-08 |
Luiz Santos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962086652. Registration indicates Luiz Santos is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Luiz Santos MD |
Practice Office Address | 5323HARRY HINES BOULEVARD DALLAS, TX US |
Practice Office Telephone | 2146483111 |
Mailing Address | 5323HARRY HINES BOULEVARD DALLAS, TX 753900001 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |