Provider Demographics
NPI:1891347399
Name:BAPTIST SAINT ANTHONY HEALTH SYSTEM
Entity Type:Organization
Organization Name:BAPTIST SAINT ANTHONY HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIYAH
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ELAGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-654-9177
Mailing Address - Street 1:6600 PLUM CREEK DR APT 259
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1632
Mailing Address - Country:US
Mailing Address - Phone:708-654-9177
Mailing Address - Fax:
Practice Address - Street 1:1400 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1786
Practice Address - Country:US
Practice Address - Phone:806-414-9493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty