Christina Maria De Santiago, LVN

Individual provider Active NPI Licensed Vocational Nurse · Converse, TX

NPI 1497545966 · NPPES record last updated May 8, 2025

Key facts

NPI
1497545966
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
347731 (TX)
Practice address
8603 Basil BRK
Converse, TX 78109-4080
Phone
(575) 495-0400
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
347731TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 347731 TX Yes

Addresses

Primary practice location

8603 Basil BRK
Converse, TX 78109-4080

Mailing address

8603 Basil BRK
Converse, TX 78109-4080
Phone (575) 495-0400

Other providers in Converse, TX

All providers in Converse, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.