MEDICARE: SYLVIA CHO DE SOLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	BP10047219	TX

General Provider Information

NPI Number	:	1093151904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA CHO DE SOLA MD

Provider Business Mailing Address
First Line	:	5202 TEXANA DR
Second Line	:	APT 528
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3772
Country	:	US
Telephone Number	:	210-842-3586
Fax Number	:

Provider Business Practice Location Address
First Line	:	5202 TEXANA DR
Second Line	:	APT 528
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3772
Country	:	US
Telephone Number	:	210-842-3586
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2013
Last Update Date	:	05/18/2013

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