Provider Demographics
NPI:1659577328
Name:SANT, P.L.L.C.
Entity Type:Organization
Organization Name:SANT, P.L.L.C.
Other - Org Name:SURGICAL ASSOICATES OF NORTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEVILLENEUVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-562-1119
Mailing Address - Street 1:8865 SYNERGY DRIVE
Mailing Address - Street 2:STE. 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6521
Mailing Address - Country:US
Mailing Address - Phone:972-562-1119
Mailing Address - Fax:972-529-9510
Practice Address - Street 1:8865 SYNERGY DRIVE
Practice Address - Street 2:STE. 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6521
Practice Address - Country:US
Practice Address - Phone:972-562-1119
Practice Address - Fax:972-529-9510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00212XMedicare ID - Type UnspecifiedGROUP NUMBER