Doctor Name: | MRS. KAREN A SANTIAGO |
NPI Number: | 1568525079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 715857 |
Business Practice Address: | 819 E Highway 190 Copperas Cove, TX - 765222259 |
Business Phone Number: | 2545423080 |
Business Fax Number: | |
Mailing Address: | 609 Yucca Cir, HARKER HEIGHTS |
State: | TX |
Postal Code: | 765488016 |
Phone Number: | 2546981903 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1100X |
License Number: | 715857 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Military/U.S. Coast Guard Outpatient |
Taxonomy Definition: | The Defense Health Program or U.S. Coast Guard funded |