Desantos, Luis A

Desantos, Luis A is an individual health care provider with primary practice located at 7026 Old Katy Rd Suite 276, Houston TX 77024-2133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Desantos, Luis A can be contacted via phone (713) 621-7436.

Contact Information

Primary practice address
7026 Old Katy Rd Suite 276 Houston TX 77024-2133
Phone: (713) 621-7436
Fax: (713) 963-9051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X E7051 Texas

Profile Details

NPI number 1518913110
LBN Legal business name Desantos, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 16th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518913110 NPPES
Texas Other 00J245 MEDICARE GROUP
Texas Other 300034175 MEDICARE GROUP
Texas MEDICAID 124452703 MEDICARE GROUP
Texas Other CS7910 MEDICARE GROUP

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