Provider Demographics
NPI:1245578046
Name:SANTELLANA, SIERRA JOY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:JOY
Last Name:SANTELLANA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:SIERRA
Other - Middle Name:JOY
Other - Last Name:TESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:301 MAIN PLZ # 330
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5136
Mailing Address - Country:US
Mailing Address - Phone:830-620-7744
Mailing Address - Fax:830-625-0353
Practice Address - Street 1:652 N HOUSTON AVE STE 2
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4123
Practice Address - Country:US
Practice Address - Phone:830-620-7744
Practice Address - Fax:830-625-0353
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant