Provider Demographics
NPI:1598787004
Name:SANTOS, ARTHUR DWAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DWAYNE
Last Name:SANTOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7210 MCPHERSON RD STE 117
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6505
Mailing Address - Country:US
Mailing Address - Phone:956-568-8278
Mailing Address - Fax:956-568-8280
Practice Address - Street 1:7210 MCPHERSON RD STE 117
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6505
Practice Address - Country:US
Practice Address - Phone:956-568-8278
Practice Address - Fax:956-568-8280
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1044208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EJ014OtherBCBS
TX118655306Medicaid
TX118655306Medicaid
TX00683TMedicare PIN