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NPI Code Detail

MEDICARE: DR. RONALD P SOEFER DPM

MEDICARE: DR. RONALD P SOEFER DPM
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
1213E00000XPodiatristPD573TX
2213ES0000XSports Medicine PodiatristPD573TX
3213ES0103XFoot & Ankle Surgery PodiatristPD573TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24075952OTHERTXAETNA PROVIDER
3AL38OTHERTXBCBS PROVIDER

General Provider Information

NPI Number : 1134196421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD P SOEFER DPM
Provider Business Mailing Address
First Line : 925 GESSNER RD
Second Line : SUITE 575
City : HOUSTON
State : TX
Zip : 77024-2545
Country : US
Telephone Number : 713-465-8833
Fax Number : 713-465-8419
Provider Business Practice Location Address
First Line : 925 GESSNER RD
Second Line : SUITE 575
City : HOUSTON
State : TX
Zip : 77024-2545
Country : US
Telephone Number : 713-465-8833
Fax Number : 713-465-8419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2006
Last Update Date : 10/15/2010

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Directions to “ DR. RONALD P SOEFER DPM” Practice Location

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