Healthcare Provider Details

I. General information

NPI: 1114449725
Provider Name (Legal Business Name): MARGARITA SORIANO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 07/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25410 I-45 NORTH #A
SPRING TX
77386
US

IV. Provider business mailing address

3310 CASTLE MANOR DR
SPRING TX
77386-3216
US

V. Phone/Fax

Practice location:
  • Phone: 281-367-1414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP134313
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: