| Jose F Santiago, | |
|
443 Houston St, Portland, TX 78374-1643 | |
| (361) 977-2059 | |
| Not Available |
| Full Name | Jose F Santiago |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 443 Houston St, Portland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083241137 | NPI | - | NPPES |
| 08161882 | Other | TX | DIRECT SERVICE TO PATIENT UNDER HHS CUSTODY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP140722 (Texas) | Primary |
| Entity Name | Victory Wound Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255020061 PECOS PAC ID: 1355705385 Enrollment ID: O20230911000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose F Santiago, 443 Houston St, Portland, TX 78374-1643 Ph: (361) 977-2059 | Jose F Santiago, 443 Houston St, Portland, TX 78374-1643 Ph: (361) 977-2059 |
Micah Flores, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137 | |
Victoria Joan Curtiss, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 443 Houston St, Portland, TX 78374 Phone: 361-977-2059 Fax: 361-977-2047 | |
Mrs. Samantha Jo Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 443 Houston St, Portland, TX 78374 Phone: 361-977-2059 Fax: 361-977-2047 | |
Amber Leia Waggoner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137 | |
Marka Jane Dredla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 277 Buddy Ganem Dr Ste A, Portland, TX 78374 Phone: 361-777-3900 Fax: 361-413-0274 | |
Matthew Kern, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Northshore Blvd, Portland, TX 78374 Phone: 361-480-0334 |