Provider Demographics
NPI:1558746206
Name:SAINT-CLAIR, DARDINY (MD)
Entity Type:Individual
Prefix:
First Name:DARDINY
Middle Name:
Last Name:SAINT-CLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 RICHARD LN
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-5047
Mailing Address - Country:US
Mailing Address - Phone:972-775-0228
Mailing Address - Fax:
Practice Address - Street 1:208 RICHARD LN
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-5047
Practice Address - Country:US
Practice Address - Phone:972-775-0228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program