Santiago, Angel

Santiago, Angel is an individual health care provider with primary practice located at 190 Civic Cir Ste 250 , Lewisville TX 75067-3648. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Santiago, Angel can be contacted via phone (214) 728-8863.

Contact Information

Primary practice address
190 Civic Cir Ste 250 Lewisville TX 75067-3648
Fax: (972) 956-8257
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 10074 Texas

Profile Details

NPI number 1568467926
LBN Legal business name Santiago, Angel
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated May 24th, 2022 - about 4 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 1568467926 NPPES
Texas MEDICAID 1766651-01

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