Most Relevant Information
Provider Data
| NPI Number: | 1003509373 |
| Provider Name: | CARMEN SANTIAGO APRN-CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 1120700 |
Most Important Dates
| Enumeration Date: | 06/01/2023 |
| Last Updated: | 06/01/2023 |
Provider Practice Location
1110 N CARROLL AVE
SOUTHLAKE
TX
760925306
Practice Location Phone/Fax
| Phone: | 8173101100 |
| Fax: | 8173101197 |
Provider Mailing Location
1110 N CARROLL AVE
SOUTHLAKE
TX
760925306
Provider Mailing Phone/Fax
| Phone: | 8173101100 |
| Fax: | 8173101197 |