Physician Compare National (NPI:1831545938)

HEALTHCARE PROVIDER: HORACIO SOSA DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1831545938
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820357486
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180108000168
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SOSA
	Individual professional last name
Provider First Name	HORACIO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9830105105
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	22
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	110 S 12TH ST
	Group Practice or individual's line 1 address
City	WACO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	767011810
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2547523451
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450042
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	451303
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LIMESTONE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	451385
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GOODALL WITCHER HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450400
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PARKVIEW REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450658
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	FREESTONE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1831545938)

HEALTHCARE PROVIDER: HORACIO SOSA DO

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information