Provider Demographics
NPI:1568504116
Name:SANTA FE CLINIC
Entity Type:Organization
Organization Name:SANTA FE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-987-4899
Mailing Address - Street 1:1717 W UNIVERSITY DR
Mailing Address - Street 2:# 412
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3218
Mailing Address - Country:US
Mailing Address - Phone:214-387-4899
Mailing Address - Fax:
Practice Address - Street 1:1717 W UNIVERSITY DR
Practice Address - Street 2:# 412
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3218
Practice Address - Country:US
Practice Address - Phone:214-387-4899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty