Healthcare Provider Details

I. General information

NPI: 1366705147
Provider Name (Legal Business Name): MEGAN MARIE SORICH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 S FRIENDSWOOD DR FL 4
FRIENDSWOOD TX
77546-5409
US

IV. Provider business mailing address

301 UNIVERSITY BLVD
GALVESTON TX
77555-0165
US

V. Phone/Fax

Practice location:
  • Phone: 281-482-5695
  • Fax: 281-309-0137
Mailing address:
  • Phone: 409-747-5701
  • Fax: 409-747-5715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberR2230
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number63573
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: