Provider Demographics
NPI:1235579301
Name:SANTACRUZ, ANA LUISA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:LUISA
Last Name:SANTACRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W 7TH ST STE 900
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:512-838-4264
Practice Address - Street 1:30 PROVIDENCIA CT STE 3
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-7433
Practice Address - Country:US
Practice Address - Phone:956-320-9022
Practice Address - Fax:956-539-2014
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-9709207Q00000X
CAA1699252084P0800X
IN01083963A2084P0800X
TXS86472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine