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Contact Information

MANUEL R CARRASCO SANTIAGO, MD
1501 W 11TH PL
SUITE # 304
BIG SPRING, TX79720-4119
 Phone: 432-714-4500
 Fax: 432-714-4502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
Indicates primary specialty

NPI Profile & details for MANUEL R CARRASCO SANTIAGO · (Male)

NPI Number 1932109196
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 12/29/2014 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # J5275
  • TX Medicaid 134103409
Hospital affiliation(s)
  • SCENIC MOUNTAIN MEDICAL CENTER - (Acute Care)
    1601 W 11TH PLACE
    BIG SPRING, TX 79720
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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