Raul Santa-Ana MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

H0106 Issued in TX

Legal business name

RAUL SANTA-ANA MD PA

Practice address

1928 N Conway Ave
Suite 2
Mission, TX 78572-2945

Phone

(956) 581-2700

Fax

(956) 581-1331

NPI assigned

Jul 10, 2007

Last updated

Jun 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raul Balli Santa-Ana, M.D.

Title

President

Phone

(956) 581-2700

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1649478884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 N CONWAY AVE",
            "address_2": "SUITE 2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722945",
            "telephone_number": "956-581-2700",
            "fax_number": "956-581-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 N CONWAY AVE",
            "address_2": "SUITE 2",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722945",
            "telephone_number": "956-581-2700",
            "fax_number": "956-581-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL SANTA-ANA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SANTA-ANA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "BALLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-581-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H0106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089761301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rawls RX, LLC (Richard's pharmacy Mission LTC)
• Daisy Raya, LPA
• Rayito de Sol Pediatric Rehabilitation Center

• General Practice Physician in Mission, TX
• Providers in Mission, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.