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NPI Code Detail

MEDICARE: SOREN JOHN VINDEKILDE MD

MEDICARE: SOREN JOHN VINDEKILDE 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
1207V00000XObstetrics & Gynecology PhysicianG2877TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114144961
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOREN JOHN VINDEKILDE MD
Provider Business Mailing Address
First Line : 4600 GULF FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77023-3548
Country : US
Telephone Number : 713-831-6554
Fax Number : 713-535-2554
Provider Business Practice Location Address
First Line : 4600 GULF FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77023-3548
Country : US
Telephone Number : 713-831-6554
Fax Number : 713-535-2554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 08/08/2012

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Directions to “ SOREN JOHN VINDEKILDE MD” Practice Location

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