Provider Demographics
NPI:1841494762
Name:SANTIAGO-JURADO, DHALMA C (MD)
Entity type:Individual
Prefix:
First Name:DHALMA
Middle Name:C
Last Name:SANTIAGO-JURADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 E JOHN CARPENTER FWY
Mailing Address - Street 2:SUITE 850
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2727
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:972-957-3005
Practice Address - Street 1:9753 WEBB CHAPEL RD.
Practice Address - Street 2:STE. 900
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220
Practice Address - Country:US
Practice Address - Phone:214-622-6048
Practice Address - Fax:214-622-6051
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16899208000000X
TXN2283208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics