Provider Demographics
NPI:1497070825
Name:RAUL SANTA-ANA MD PA
Entity Type:Organization
Organization Name:RAUL SANTA-ANA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-686-3763
Mailing Address - Street 1:1928 N CONWAY AVE
Mailing Address - Street 2:STE #2
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2938
Mailing Address - Country:US
Mailing Address - Phone:956-581-2700
Mailing Address - Fax:956-581-1331
Practice Address - Street 1:1301 E RIDGE RD
Practice Address - Street 2:STE B
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1617
Practice Address - Country:US
Practice Address - Phone:956-686-3763
Practice Address - Fax:956-686-4433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0106207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty