Provider Demographics
NPI:1407813876
Name:SANTIAGO MUNOZ, PATRICIA CRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:CRISTINA
Last Name:SANTIAGO MUNOZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:CRISTINA
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5939 HARRY HINES BLVD POB II 5TH FLOOR SUITE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-0001
Mailing Address - Country:US
Mailing Address - Phone:214-645-3838
Mailing Address - Fax:214-645-5494
Practice Address - Street 1:5939 HARRY HINES BLVD
Practice Address - Street 2:POB II, SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-0001
Practice Address - Country:US
Practice Address - Phone:214-645-3838
Practice Address - Fax:214-645-3839
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4693207V00000X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152658401Medicaid
TX152658403Medicaid
TX152658403Medicaid
TX8955B7Medicare ID - Type Unspecified