| Doctor Name: | MRS. SUSIE N SANTANNA |
| NPI Number: | 1477527562 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | DPM1258 |
| Business Practice Address: | 12400 St Hwy 71 W Ste 350-128 Bee Cave, TX - 787386517 |
| Business Phone Number: | 5127194545 |
| Business Fax Number: | 5122849388 |
| Mailing Address: | 12400 St Hwy 71 W, Ste 350-128 BEE CAVE |
| State: | TX |
| Postal Code: | 787386517 |
| Phone Number: | 5127194545 |
| Fax Number: | 5122849388 |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 02/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | DPM1258 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |