Provider Demographics
NPI:1336114396
Name:SANTOSCOY, RAUL (DO)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:
Last Name:SANTOSCOY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:7431 NW LOOP 410
Practice Address - Street 2:STE 109
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-3596
Practice Address - Country:US
Practice Address - Phone:210-477-7190
Practice Address - Fax:210-477-7195
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4109207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154253201Medicaid
TXP00218734OtherMEDICARE RAILROAD
TX8392B6Medicare PIN
TXH61133Medicare UPIN