Provider Demographics
NPI:1346444932
Name:SANTAMARIA, ADRIAN ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:ANTONIO
Last Name:SANTAMARIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:455 SCHOOL ST
Mailing Address - Street 2:STE 20
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4595
Mailing Address - Country:US
Mailing Address - Phone:281-357-5678
Mailing Address - Fax:281-357-8765
Practice Address - Street 1:455 SCHOOL ST
Practice Address - Street 2:STE 20
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4595
Practice Address - Country:US
Practice Address - Phone:281-357-5678
Practice Address - Fax:281-357-8765
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN04332084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1643444932Medicaid
TX1643444932Medicaid