| Organization Name: | RAUL SANTA-ANA MD PA |
| NPI Number: | 1649478884 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAUL BALLI SANTA-ANA (PRESIDENT) |
| Mailing Address: | 1928 N Conway Ave Suite 2 Mission |
| State: | TX US |
| Postal Code: | 785722945 |
| Phone Number: | 9565812700 |
| Fax Number: | 9565811331 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 06/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H0106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |