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General NPI Number Information
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NPI Number | 1275625212
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Entity Type | Organization
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Legal Business Name | J RAUL SOTO MD PA
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 7789 SOUTHWEST FWY, STE 420
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City | HOUSTON
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State | TX
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Zip | 77074-1833
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Country | US
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Telephone | 713-580-0234
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Fax | 713-580-0259
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Provider Business Mailing Address
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Address Line | 7789 SOUTHWEST FWY, STE 420
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City | HOUSTON
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State | TX
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Zip | 77074
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Country | US
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Telephone | 713-580-0234
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Fax | 713-580-0259
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARY MONTOYA
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Credential | CMC
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Telephone | 713-580-0234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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