Most Relevant Information
Provider Data
| NPI Number: | 1003308610 |
| Provider Name: | DIEGO SANTA ANA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA12008 |
Most Important Dates
| Enumeration Date: | 05/31/2018 |
| Last Updated: | 05/31/2018 |
Provider Practice Location
5625 EIGER RD STE 215
AUSTIN
TX
787358982
Practice Location Phone/Fax
| Phone: | 5126107900 |
| Fax: |
Provider Mailing Location
4515 SETON CENTER PKWY STE 175
AUSTIN
TX
787595730
Provider Mailing Phone/Fax
| Phone: | 5123821933 |
| Fax: | 5127774949 |